Mcglothlin, Elizabeth Ann

Mcglothlin, Elizabeth Ann is an individual health care provider with primary practice located at 2002 S 11Th St , Niles MI 49120-4074. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Mcglothlin, Elizabeth Ann can be contacted via phone (269) 687-0200.

Contact Information

Primary practice address
2002 S 11Th St Niles MI 49120-4074
Phone: (269) 687-0200
Fax: (269) 684-0199
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301108540 Michigan
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1124394945
LBN Legal business name Mcglothlin, Elizabeth Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2012
Last updated Mar 25th, 2019 - about 7 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 1124394945 NPPES
Michigan MEDICAID 1124394945

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