Elfervig, John L
Elfervig, John L is an individual health care provider with primary practice located at 825 Ridge Lake Blvd , Memphis TN 38120-9411. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Elfervig, John L can be contacted via phone (901) 685-2200.Contact Information
Primary practice address
825 Ridge Lake Blvd
Memphis TN 38120-9411
Phone: (901) 685-2200
Fax: (901) 820-2342
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD009929 | Tennessee |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | R4424 | Arkansas |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 14866 | Mississippi |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 14866 | Mississippi |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | R4424 | Arkansas |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 9929 | Tennessee |
Profile Details
| NPI number | 1619910544 |
|---|---|
| LBN Legal business name | Elfervig, John L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jan 15th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619910544 | NPPES |
| Mississippi | Other | P00658339 | PALMETTO RR MEDICARE |
| Mississippi | Other | 180024050 | PALMETTO RR MEDICARE |
| Mississippi | MEDICAID | 00115592 | PALMETTO RR MEDICARE |
| Mississippi | MEDICAID | 107447001 | PALMETTO RR MEDICARE |
| Mississippi | MEDICAID | 3190249 | PALMETTO RR MEDICARE |
| Mississippi | MEDICAID | 202004503 | PALMETTO RR MEDICARE |
Popular Providers
-
Sharma, Atul
1100 Johnson Ferry Rd Ne Suite 593, Atlanta GA 30342-1709 -
Martidis, Adam A
2770 N Union Blvd Ste 140 , Colorado Springs CO 80909-1183 -
Khamapirad, Tawan Sunny
6005 Park Ave Ste 624B, Memphis TN 38119-5221 -
Amin, Haris Irfan
780 Route 37 W Ste 200, Toms River NJ 08755-5059 -
Charles, Steve T
1432 Kimbrough Rd , Germantown TN 38138-2405 -
Fowell, Susan M
1235 N Mulford Rd Suite 100, Rockford IL 61107-3879 -
Harris, April
6561 E Carondelet Dr , Tucson AZ 85710-2156 -
Jimenez Agosto, Jaime
1420 S 28Th Ave , Hattiesburg MS 39402-3107