Ellison, Elizabeth F
Ellison, Elizabeth F is an individual health care provider with primary practice located at 2061 Beverly Rd , Gainesville GA 30501-2034. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Ellison, Elizabeth F can be contacted via phone (770) 532-4444.Contact Information
Primary practice address
2061 Beverly Rd
Gainesville GA 30501-2034
Phone: (770) 532-4444
Fax: (678) 971-5172
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT002868 | Georgia |
Profile Details
| NPI number | 1629459581 |
|---|---|
| LBN Legal business name | Ellison, Elizabeth F |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2015 |
| Last updated | Aug 3rd, 2016 - about 10 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 | 1629459581 | NPPES |
| Georgia | MEDICAID | 003169594A |
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