Vincent R. Elie Md, Plc | |
105 1/2 S Main St Chelsea MI 48118-1265 | |
(734) 417-7054 | |
(734) 433-1548 |
Full Name | Vincent R. Elie Md, Plc |
---|---|
Speciality | Internal Medicine |
Location | 105 1/2 S Main St, Chelsea, Michigan |
Authorized Official Name and Position | Vincent R Elie (SOLE MEMBER/PHYSICIAN) |
Authorized Official Contact | 7344177054 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Vincent R. Elie Md, Plc 105 1/2 S Main St Chelsea MI 48118-1265 Ph: (734) 417-7054 | Vincent R. Elie Md, Plc 105 1/2 S Main St Chelsea MI 48118-1265 Ph: (734) 417-7054 |
NPI Number | 1497048649 |
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Provider Enumeration Date | 05/20/2011 |
Last Update Date | 05/20/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497048649 | NPI | - | NPPES |
4284888 | Medicaid | MI | |
1740213115 | Other | NPI TYPE 1 | |
VE057786 | Other | MI | LICENSE |
ON 260970 | Other | MEDICARE ID NUMBER | |
108123621 | Other | MI | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | VE 057786 (Michigan) | Primary |
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