Elises, Ivan

Elises, Ivan is an individual health care provider with primary practice located at 5348 Lamme Rd , Moraine OH 45439-3215. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Elises, Ivan can be contacted via phone (937) 534-4651.

Contact Information

Primary practice address
5348 Lamme Rd Moraine OH 45439-3215
Phone: (937) 534-4651
Fax: (937) 522-8799
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN.367625 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN.CNP.0027227 Ohio

Profile Details

NPI number 1891352910
LBN Legal business name Elises, Ivan
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2019
Last updated Jan 12th, 2021 - about 4 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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