Kolettis, Elias M.

Kolettis, Elias M. is an sole proprietor health care provider with primary practice located at 701 N Hercules Ave Ste B, Clearwater FL 33765-2029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kolettis, Elias M. can be contacted via phone (727) 738-8410.

Contact Information

Primary practice address
701 N Hercules Ave Ste B Clearwater FL 33765-2029
Phone: (727) 738-8410
Fax: (727) 734-6254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS7623 Florida

Profile Details

NPI number 1346245891
LBN Legal business name Kolettis, Elias M.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2005
Last updated Apr 12th, 2016 - about 8 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 1346245891 NPPES
Florida Other 46556 BCBS
Florida MEDICAID 255469100 BCBS

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