Bortell, Elizabeth Baker

Bortell, Elizabeth Baker is an individual health care provider with primary practice located at 2924 Brook Rd Credentialing Dept, Richmond VA 23220-1215. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Bortell, Elizabeth Baker can be contacted via phone (804) 321-7474.

Contact Information

Primary practice address
2924 Brook Rd Credentialing Dept Richmond VA 23220-1215
Phone: (804) 321-7474
Fax: (804) 228-5970
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 0401410308 Virginia

Profile Details

NPI number 1992894190
LBN Legal business name Bortell, Elizabeth Baker
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Sep 20th, 2010 - about 15 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 1992894190 NPPES
Virginia Other 0401410308 PROFESSIONAL LICENSE

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