Ellent, Elizabeth
Ellent, Elizabeth is an individual health care provider with primary practice located at 1542 Tulane Ave # T4M2 , New Orleans LA 70112-2865. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Ellent, Elizabeth can be contacted via phone (504) 568-2713.Contact Information
Primary practice address
1542 Tulane Ave # T4M2
New Orleans LA 70112-2865
Phone: (504) 568-2713
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 302220 | Louisiana |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 302220 | Louisiana |
Profile Details
| NPI number | 1770825549 |
|---|---|
| LBN Legal business name | Ellent, Elizabeth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2013 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1770825549 | NPPES |
| Louisiana | MEDICAID | 2334174 | |
| Louisiana | MEDICAID | 06789778 |
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