Eversull, Elizabeth
Eversull, Elizabeth is an sole proprietor health care provider with primary practice located at 5944 W Parker Rd #400, Plano TX 75093-6421. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Eversull, Elizabeth can be contacted via phone (972) 309-2021.Contact Information
Primary practice address
5944 W Parker Rd #400
Plano TX 75093-6421
Phone: (972) 309-2021
Fax: (972) 309-2023
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | L5328 | Texas |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | L5328 | Texas |
Profile Details
| NPI number | 1154380517 |
|---|---|
| LBN Legal business name | Eversull, Elizabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Oct 23rd, 2008 - about 18 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 | 1154380517 | NPPES |
| Texas | MEDICAID | 176702201 |
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