King, Elisabeth Mccauley

King, Elisabeth Mccauley is an individual health care provider with primary practice located at 1500 E. Duarte Road , Duarte CA 91010. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. King, Elisabeth Mccauley can be contacted via phone (626) 256-4673.

Contact Information

Primary practice address
1500 E. Duarte Road Duarte CA 91010
Phone: (626) 256-4673
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 760641 Texas

Profile Details

NPI number 1659644748
LBN Legal business name King, Elisabeth Mccauley
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2012
Last updated Nov 9th, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659644748 NPPES
Texas MEDICAID 329842401
Texas Other P01847449

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