Wells, Elijah Gordon

Wells, Elijah Gordon is an individual health care provider with primary practice located at 60 Memorial Medical Pkwy Ste 2801 , Palm Coast FL 32164-5980. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wells, Elijah Gordon can be contacted via phone (386) 586-1910.

Contact Information

Primary practice address
60 Memorial Medical Pkwy Ste 2801 Palm Coast FL 32164-5980
Phone: (386) 586-1910
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9113266 Florida

Profile Details

NPI number 1538561501
LBN Legal business name Wells, Elijah Gordon
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2014
Last updated Jun 9th, 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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