Abbott, Elise Marie
Abbott, Elise Marie is an sole proprietor health care provider with primary practice located at 2480 White Bear Ave N Ste 104 , Maplewood MN 55109-4568. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Abbott, Elise Marie can be contacted via phone (612) 444-3247.Contact Information
Primary practice address
2480 White Bear Ave N Ste 104
Maplewood MN 55109-4568
Phone: (612) 444-3247
Fax: (612) 888-9247
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 14184 | Minnesota |
Profile Details
| NPI number | 1871240168 |
|---|---|
| LBN Legal business name | Abbott, Elise Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2022 |
| Last updated | Jan 3rd, 2023 - about last year |
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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