Gantt, Elizabeth S
Gantt, Elizabeth S is an individual health care provider with primary practice located at 9420 Key West Suite 202, Rockville MD 20850. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Gantt, Elizabeth S can be contacted via phone (301) 251-9555.Contact Information
Primary practice address
9420 Key West Suite 202
Rockville MD 20850
Phone: (301) 251-9555
Fax: (301) 309-0765
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | D41612 | Maryland |
Profile Details
| NPI number | 1619973963 |
|---|---|
| LBN Legal business name | Gantt, Elizabeth S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Mar 1st, 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 | 1619973963 | NPPES |
| Maryland | MEDICAID | 751141800 |
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