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
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407094998 | NPPES |
New Jersey | MEDICAID | 0260193 |
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