Bacchus, Elizabeth R

Bacchus, Elizabeth R is an individual health care provider with primary practice located at 2256 Gilmer Ave , Tallassee AL 36078-7114. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bacchus, Elizabeth R can be contacted via phone (334) 567-8633.

Contact Information

Primary practice address
2256 Gilmer Ave Tallassee AL 36078-7114
Phone: (334) 567-8633
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-114945 Alabama

Profile Details

NPI number 1578952206
LBN Legal business name Bacchus, Elizabeth R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2015
Last updated Jan 27th, 2021 - about 3 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.

Request for update

Popular Providers