Altomare, Elizabeth Grace
Altomare, Elizabeth Grace is an sole proprietor health care provider with primary practice located at 7530 164Th Ave Ne Ste A215 , Redmond WA 98052-7809. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Altomare, Elizabeth Grace can be contacted via phone (425) 885-9292.Contact Information
Primary practice address
7530 164Th Ave Ne Ste A215
Redmond WA 98052-7809
Phone: (425) 885-9292
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101252989 | Virginia |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 57092 | Arizona |
Profile Details
NPI number | 1245546092 |
---|---|
LBN Legal business name | Altomare, Elizabeth Grace |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 30th, 2010 |
Last updated | Apr 25th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245546092 | NPPES |
Arizona | Other | 57092 | ARIZONA MEDICAL BOARD |
Arizona | Other | 1245546092 | ARIZONA MEDICAL BOARD |
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