Bomgaars, Elisa

Bomgaars, Elisa is an individual health care provider with primary practice located at 5810 W Beverly Ln , Glendale AZ 85306-1800. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Bomgaars, Elisa can be contacted via phone (623) 312-3000.

Contact Information

Primary practice address
5810 W Beverly Ln Glendale AZ 85306-1800
Fax: (623) 312-3060
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 47975 Arizona

Profile Details

NPI number 1841220225
LBN Legal business name Bomgaars, Elisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Aug 29th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841220225 NPPES
Arizona MEDICAID 835216

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