Ely, John C.

Ely, John C. is an individual health care provider with primary practice located at 987400 Nebraska Medical Center , Omaha NE 68198. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as his primary health care specialty. Ely, John C. can be contacted via phone (402) 552-3676.

Contact Information

Primary practice address
987400 Nebraska Medical Center Omaha NE 68198
Phone: (402) 552-3676
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 36080 Minnesota
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 31560 Nebraska

Profile Details

NPI number 1619929916
LBN Legal business name Ely, John C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Apr 4th, 2019 - about 5 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 1619929916 NPPES
Illinois MEDICAID 036113303

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