Sebastian, Ely

Sebastian, Ely is an sole proprietor health care provider with primary practice located at 1601 Haddon Ave , Camden NJ 08103-3109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Transplant Surgery, which is considered as his primary health care specialty. Sebastian, Ely can be contacted via phone (856) 757-3840.

Contact Information

Primary practice address
1601 Haddon Ave Camden NJ 08103-3109
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X MT192744 Pennsylvania
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 25MA08894600 New Jersey

Profile Details

NPI number 1407094998
LBN Legal business name Sebastian, Ely
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2009
Last updated Oct 19th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407094998 NPPES
New Jersey MEDICAID 0260193

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