Anderson, Elisabeth G
Anderson, Elisabeth G is an individual health care provider with primary practice located at 4650 Harrison Blvd , Ogden UT 84403-4303. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Anderson, Elisabeth G can be contacted via phone (801) 475-3021.Contact Information
Primary practice address
4650 Harrison Blvd
Ogden UT 84403-4303
Phone: (801) 475-3021
Fax: (801) 475-3031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5385492-1206 | Utah |
Profile Details
| NPI number | 1518955624 |
|---|---|
| LBN Legal business name | Anderson, Elisabeth G |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Feb 26th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518955624 | NPPES |
| Utah | MEDICAID | 1518955624 |
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