Anderson, Elizabeth

Anderson, Elizabeth is an sole proprietor health care provider with primary practice located at 5010 Unseld Blvd , Louisville KY 40218-3836. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Transportation Services / Private Vehicle. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Anderson, Elizabeth can be contacted via phone (502) 479-5699.

Contact Information

Primary practice address
5010 Unseld Blvd Louisville KY 40218-3836
Phone: (502) 479-5699
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E026044 Virginia
Transportation Services / Private Vehicle 347C00000X A63489901 Virginia

Profile Details

NPI number 1003255340
LBN Legal business name Anderson, Elizabeth
Credentials PCA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2013
Last updated Dec 8th, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003255340 NPPES
Virginia MEDICAID E026044

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