Hereford, Elizabeth Ann
Hereford, Elizabeth Ann is an sole proprietor health care provider with primary practice located at 999 S Fairmont Ave Ste 220 , Lodi CA 95240-5142. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Hereford, Elizabeth Ann can be contacted via phone (209) 334-9462.Contact Information
Primary practice address
999 S Fairmont Ave Ste 220
Lodi CA 95240-5142
Phone: (209) 334-9462
Fax: (209) 334-9470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 00G53434 | California |
Profile Details
| NPI number | 1710012117 |
|---|---|
| LBN Legal business name | Hereford, Elizabeth Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 23rd, 2007 |
| 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 | 1710012117 | NPPES |
| California | Other | 00G53434 | MEDICARE |
| California | Other | A52522 | MEDICARE |
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