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Contact Information

SEBASTINE I ELENDU, MD
2301 HOUSE AVE
SUITE 201
CHEYENNE, WY82001-3176
 Phone: 307-638-7757
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SEBASTINE I ELENDU · (Male)

NPI Number 1073536074
Status Active
Credentials MD
Entity Individual
Enumeration date 07/25/2006
Last updated 05/20/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 199938
  • SC License # 32334
  • LA Medicaid 1076350
  • MS Medicaid 02053740
  • SC Medicaid NC1134
  • SC Other GP3912 MEDICAID GROUP
  • SC Other GP4306 MEDICAID GROUP
Hospital affiliation(s)
  • FRYE REGIONAL MEDICAL CENTER - (Acute Care)
    420 N CENTER ST
    HICKORY, NC 28601
  • FRYE REGIONAL MEDICAL CENTER - (Acute Care)
    420 N CENTER ST
    HICKORY, NC 28601
  • MCLEOD REGIONAL MEDICAL CENTER-PEE DEE - (Acute Care)
    555 E CHEVES ST BOX 8700
    FLORENCE, SC 29506
  • MCLEOD REGIONAL MEDICAL CENTER-PEE DEE - (Acute Care)
    555 E CHEVES ST BOX 8700
    FLORENCE, SC 29506
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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