Gawron, Elizabeth Rose
Gawron, Elizabeth Rose is an individual health care provider with primary practice located at 181 Andrieux St Suite 208, Sonoma CA 95476-6932. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gawron, Elizabeth Rose can be contacted via phone (707) 935-9000.Contact Information
Primary practice address
181 Andrieux St Suite 208
Sonoma CA 95476-6932
Phone: (707) 935-9000
Fax: (707) 935-8374
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G39952 | California |
Profile Details
| NPI number | 1629013339 |
|---|---|
| LBN Legal business name | Gawron, Elizabeth Rose |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1629013339 | NPPES |
| California | Other | G399520 | STATE MEDICAL LICENSE |
| California | MEDICAID | 00G399520 | STATE MEDICAL LICENSE |
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