Etzel, Beatrice A
Etzel, Beatrice A is an individual health care provider with primary practice located at 2500 Metrohealth Dr , Cleveland OH 44109-1900. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Etzel, Beatrice A can be contacted via phone (216) 778-5965.Contact Information
Primary practice address
2500 Metrohealth Dr
Cleveland OH 44109-1900
Phone: (216) 778-5965
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 364SA2200X | NS-04845 | Ohio |
Profile Details
| NPI number | 1750436630 |
|---|---|
| LBN Legal business name | Etzel, Beatrice A |
| Credentials | Clinical Nurse Specialist (CNS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Jan 3rd, 2013 - about 13 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 | 1750436630 | NPPES |
| Ohio | MEDICAID | 2574067 | |
| Ohio | Other | 000000362284 |
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