Black, Elizabeth Ashley
Black, Elizabeth Ashley is an individual health care provider with primary practice located at 726 N Medical Center Dr E Ste 209 , Clovis CA 93611-6886. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Obesity Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Nephrology. Allopathic & Osteopathic Physicians / Pediatric Nephrology is her primary health care specialty. Black, Elizabeth Ashley can be contacted via phone (559) 325-5656.Contact Information
Primary practice address
726 N Medical Center Dr E Ste 209
Clovis CA 93611-6886
Phone: (559) 325-5656
Fax: (559) 325-5568
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A151555 | California |
| Allopathic & Osteopathic Physicians / Obesity Medicine | 2080B0002X | A151555 | California |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | A151555 | California |
Profile Details
| NPI number | 1043697113 |
|---|---|
| LBN Legal business name | Black, Elizabeth Ashley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2015 |
| Last updated | Aug 5th, 2021 - about 5 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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