Li, Elsa S
Li, Elsa S is an sole proprietor health care provider with primary practice located at 320 Bolton St , Marlborough MA 01752-3988. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Li, Elsa S can be contacted via phone (508) 460-9670.Contact Information
Primary practice address
320 Bolton St
Marlborough MA 01752-3988
Phone: (508) 460-9670
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 55407 | Massachusetts |
Profile Details
| NPI number | 1891735320 |
|---|---|
| LBN Legal business name | Li, Elsa S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Apr 3rd, 2012 - about 14 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 | 1891735320 | NPPES |
| Massachusetts | MEDICAID | 110072575A |
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