Revoir, Elisabeth
Revoir, Elisabeth is an individual health care provider with primary practice located at 1000 E 1St St Ste Ll, Duluth MN 55805-2297. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Revoir, Elisabeth can be contacted via phone (218) 722-5629.Contact Information
Primary practice address
1000 E 1St St Ste Ll
Duluth MN 55805-2297
Phone: (218) 722-5629
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 38650 | Minnesota |
Profile Details
| NPI number | 1952349169 |
|---|---|
| LBN Legal business name | Revoir, Elisabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Dec 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952349169 | NPPES |
| Minnesota | Other | 1011800 | PREFERRED ONE |
| Minnesota | Other | 32262000 | PREFERRED ONE |
| Minnesota | Other | 38T68RE | PREFERRED ONE |
| Minnesota | Other | A009 | PREFERRED ONE |
| Minnesota | MEDICAID | 847326900 | PREFERRED ONE |
| Minnesota | Other | HP22609 | PREFERRED ONE |
| Minnesota | Other | 07-00154 | PREFERRED ONE |
| Minnesota | Other | 115834 | PREFERRED ONE |
| Minnesota | Other | 160030895 | PREFERRED ONE |
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