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
Phone: (269) 324-2400
Fax: (269) 324-0450
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1215078142 | NPPES |
Michigan | Other | 0C910950 | BCBSM |
Michigan | MEDICAID | 1215078142 | BCBSM |
Michigan | MEDICAID | 4949250 | BCBSM |
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