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Contact Information

ELIAS J PTAK, DO
874 AMERICAN PACIFIC DR
HENDERSON, NV89014-8800
 Phone: 702-777-4809
 Fax: 702-777-4822
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ELIAS J PTAK · (Male)

NPI Number 1861653560
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/24/2008
Last updated 10/28/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 20A9728
  • NV License # DO1666
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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