Telfare, Elijah

Telfare, Elijah is an individual health care provider with primary practice located at 500 Lilly Rd Ne Suite 100, Olympia WA 98506-5195. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Telfare, Elijah can be contacted via phone (360) 491-4211.

Contact Information

Primary practice address
500 Lilly Rd Ne Suite 100 Olympia WA 98506-5195
Fax: (360) 493-0407
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA10002241 Pennsylvania

Profile Details

NPI number 1124144431
LBN Legal business name Telfare, Elijah
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Oct 5th, 2007 - about 17 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 1124144431 NPPES
Washington MEDICAID 7066269

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