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Contact Information

JEFFREY R ELIAS, DO
1800 EAST PARK AVENUE
STATE COLLEGE, PA16803
 Phone: 814-278-4851
 Fax: 814-231-7138
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for JEFFREY R ELIAS · (Male)

NPI Number 1508876889
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/09/2006
Last updated 11/14/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • PA License # OS-010510-L
  • PA Medicaid 0018035480003
  • PA Other 000561357 BLUE CROSS
Hospital affiliation(s) Not Available
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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