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Individual

JOEL N ELIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2723 S 7TH ST, SUITE L, TERRE HAUTE, IN 47802-3558
(812) 232-0921
(812) 232-0857
Mailing address
2723 S 7TH ST, SUITE A, TERRE HAUTE, IN 47802-3558
(812) 238-1730
(812) 242-1565

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01033973A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000093815
ANTHEM PIN
IN
05
100331390
IN
01
110198725
RAILROAD MEDICARE PIN
IN
Enumeration date
01/19/2007
Last updated
07/14/2014
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