Burbage, Elizabeth
Burbage, Elizabeth is an individual health care provider with primary practice located at 14 Richland Medical Park Dr Ste 310 , Columbia SC 29203-6883. 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. Burbage, Elizabeth can be contacted via phone (803) 434-8450.Contact Information
Primary practice address
14 Richland Medical Park Dr Ste 310
Columbia SC 29203-6883
Phone: (803) 434-8450
Fax: (803) 758-0137
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA2709 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 7788 | Georgia |
Profile Details
| NPI number | 1861865016 |
|---|---|
| LBN Legal business name | Burbage, Elizabeth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2015 |
| Last updated | May 3rd, 2019 - about 7 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 | 1861865016 | NPPES |
| South Carolina | MEDICAID | 2945PA |
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