Eagle, Elizabeth Anne

Eagle, Elizabeth Anne is an sole proprietor health care provider with primary practice located at 1331 North Elm Street Suite 200, Greensboro NC 27401-6304. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Eagle, Elizabeth Anne can be contacted via phone (336) 274-9617.

Contact Information

Primary practice address
1331 North Elm Street Suite 200 Greensboro NC 27401-6304
Fax: (336) 482-2177
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 26437 North Carolina

Profile Details

NPI number 1700877479
LBN Legal business name Eagle, Elizabeth Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2005
Last updated Mar 17th, 2014 - about 12 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 1700877479 NPPES
North Carolina Other 300050401 RAILROAD MEDICARE
North Carolina MEDICAID 8929714 RAILROAD MEDICARE
North Carolina Other 1600340 RAILROAD MEDICARE
North Carolina Other 1080 RAILROAD MEDICARE
North Carolina Other 29714 RAILROAD MEDICARE
North Carolina Other 70508 RAILROAD MEDICARE

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