Blaney, Elizabeth Joy

Blaney, Elizabeth Joy is an individual health care provider with primary practice located at 4921 Parkview Pl Div Im Gastroenterology, Ste 12B, Saint Louis MO 63110-1032. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Blaney, Elizabeth Joy can be contacted via phone (314) 747-2066.

Contact Information

Primary practice address
4921 Parkview Pl Div Im Gastroenterology, Ste 12B Saint Louis MO 63110-1032
Fax: (314) 747-7111
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 2015032397 Missouri

Profile Details

NPI number 1518162213
LBN Legal business name Blaney, Elizabeth Joy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2007
Last updated Apr 25th, 2024 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518162213 NPPES
Missouri MEDICAID 204221105

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