Xakellis, George C
Xakellis, George C is an individual health care provider with primary practice located at 500 East Veteran Street , Tomah WI 54660-1016. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Xakellis, George C can be contacted via phone (608) 372-1792.Contact Information
Primary practice address
500 East Veteran Street
Tomah WI 54660-1016
Phone: (608) 372-1792
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD029031E | Pennsylvania |
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | MD029031E | Pennsylvania |
Profile Details
NPI number | 1164418885 |
---|---|
LBN Legal business name | Xakellis, George C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 27th, 2005 |
Last updated | Apr 3rd, 2013 - about 12 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 | 1164418885 | NPPES |
Pennsylvania | Other | 1738142 | HIGHMARK BLUE SHIELD |
Pennsylvania | Other | 50047703 | HIGHMARK BLUE SHIELD |
Pennsylvania | Other | B18104 | HIGHMARK BLUE SHIELD |
Pennsylvania | MEDICAID | 1012794100001 | HIGHMARK BLUE SHIELD |
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