Elkus, Mark Alan
Elkus, Mark Alan is an sole proprietor health care provider with primary practice located at 1400 South 19Th Street , Birmingham AL 35213. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Trauma. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Elkus, Mark Alan can be contacted via phone (205) 939-0610.Contact Information
Primary practice address
1400 South 19Th Street
Birmingham AL 35213
Phone: (205) 939-0610
Fax: (205) 930-9134
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 00024049 | Alabama |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 00024049 | Alabama |
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | 00024049 | Alabama |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 24049 | Alabama |
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 24049 | Alabama |
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | 24049 | Alabama |
Profile Details
| NPI number | 1366515033 |
|---|---|
| LBN Legal business name | Elkus, Mark Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Dec 29th, 2011 - about 13 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 | 1366515033 | NPPES |
| Other | 51553670 | BLUE CROSS-BLUE SHIELD | |
| MEDICAID | EL009926035 | BLUE CROSS-BLUE SHIELD | |
| Other | 51553670 | BLUE CROSS-BLUE SHIELD |
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