Elmasry, Sherif

Elmasry, Sherif is an individual health care provider with primary practice located at 655 N Broadway , Peru IN 46970. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Elmasry, Sherif can be contacted via phone (765) 475-0024.

Contact Information

Primary practice address
655 N Broadway Peru IN 46970
Fax: (765) 475-0736
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01045850A Indiana

Profile Details

NPI number 1972690634
LBN Legal business name Elmasry, Sherif
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Jan 3rd, 2012 - about 12 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 1972690634 NPPES
Indiana MEDICAID 200144460B

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