Swan, Elisabeth Sarah
Swan, Elisabeth Sarah is an individual health care provider with primary practice located at 4335 Hazel Ave , Fair Oaks CA 95628-6669. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Swan, Elisabeth Sarah can be contacted via phone (916) 966-6080.Contact Information
Primary practice address
4335 Hazel Ave
Fair Oaks CA 95628-6669
Phone: (916) 966-6080
Fax: (916) 966-6919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 9676T | California |
Profile Details
| NPI number | 1356331938 |
|---|---|
| LBN Legal business name | Swan, Elisabeth Sarah |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Oct 20th, 2010 - about 16 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 | 1356331938 | NPPES |
| California | Other | SD0096760 | MEDI-CAL |
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