Roy, Elizabeth N

Roy, Elizabeth N is an individual health care provider with primary practice located at 2100 Highway 61 N , Vicksburg MS 39183-8211. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Roy, Elizabeth N can be contacted via phone (601) 883-5000.

Contact Information

Primary practice address
2100 Highway 61 N Vicksburg MS 39183-8211
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 12153 Mississippi

Profile Details

NPI number 1639115173
LBN Legal business name Roy, Elizabeth N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Aug 22nd, 2008 - about 18 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 1639115173 NPPES
Mississippi Other 4231266 AETNA
Mississippi MEDICAID 00114159 AETNA
Mississippi MEDICAID 1908681 AETNA

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