Elias, Augusto Ernesto
Elias, Augusto Ernesto is an individual health care provider with primary practice located at 5900 Byron Center Ave Sw , Wyoming MI 49519-9606. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Elias, Augusto Ernesto can be contacted via phone (616) 252-7159.Contact Information
Primary practice address
5900 Byron Center Ave Sw
Wyoming MI 49519-9606
Phone: (616) 252-7159
Fax: (616) 252-6990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 4301087351 | Michigan |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 4301087351 | Michigan |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 4301087351 | Michigan |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036130909 | Illinois |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 4301087351 | Michigan |
Profile Details
| NPI number | 1700906997 |
|---|---|
| LBN Legal business name | Elias, Augusto Ernesto |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2007 |
| Last updated | Apr 2nd, 2019 - about 5 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 | 1700906997 | NPPES |
| Illinois | MEDICAID | 036130909 |
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