Augustine, Elizabeth Mable
Augustine, Elizabeth Mable is an sole proprietor health care provider with primary practice located at 101 S La Canada Dr # 47 , Green Valley AZ 85614-2603. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Augustine, Elizabeth Mable can be contacted via phone (520) 207-9345.Contact Information
Primary practice address
101 S La Canada Dr # 47
Green Valley AZ 85614-2603
Phone: (520) 207-9345
Fax: (520) 207-9345
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 6420 | Arizona |
Profile Details
| NPI number | 1679741094 |
|---|---|
| LBN Legal business name | Augustine, Elizabeth Mable |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 19th, 2008 |
| Last updated | Feb 19th, 2008 - about 18 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 | 1679741094 | NPPES |
| Arizona | Other | Z 104140 | GROUP LEGACY |
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