Bathala, Elizabeth Anne
Bathala, Elizabeth Anne is an individual health care provider with primary practice located at 1800 Barrs St , Jacksonville FL 32204-4704. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Bathala, Elizabeth Anne can be contacted via phone (904) 308-7300.Contact Information
Primary practice address
1800 Barrs St
Jacksonville FL 32204-4704
Phone: (904) 308-7300
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME93778 | Florida |
Profile Details
NPI number | 1447233713 |
---|---|
LBN Legal business name | Bathala, Elizabeth Anne |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 21st, 2005 |
Last updated | Aug 14th, 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 | 1447233713 | NPPES |
Florida | MEDICAID | 001492800 |
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