Avena, Elizabeth S

Avena, Elizabeth S is an individual health care provider with primary practice located at 916 Koala Ave , Omak WA 98841-9576. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Avena, Elizabeth S can be contacted via phone (509) 826-1800.

Contact Information

Primary practice address
916 Koala Ave Omak WA 98841-9576
Phone: (509) 826-1800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00040274 Washington

Profile Details

NPI number 1316973654
LBN Legal business name Avena, Elizabeth S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2006
Last updated Jul 25th, 2022 - about 3 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 1316973654 NPPES
Washington Other 0163480 L&I
Washington Other P01301068 L&I
Washington MEDICAID 1316973654 L&I
Washington Other 314884 L&I

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