Elias, Julie

Elias, Julie is an individual health care provider with primary practice located at 2680 W Centre Ave , Portage MI 49024-4828. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Elias, Julie can be contacted via phone (269) 324-2400.

Contact Information

Primary practice address
2680 W Centre Ave Portage MI 49024-4828
Fax: (269) 324-0450
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 4301088858 Michigan

Profile Details

NPI number 1215078142
LBN Legal business name Elias, Julie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Nov 27th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215078142 NPPES
Michigan Other 0C910950 BCBSM
Michigan MEDICAID 1215078142 BCBSM
Michigan MEDICAID 4949250 BCBSM

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