Brown, Elizabeth Lantz
Brown, Elizabeth Lantz is an sole proprietor health care provider with primary practice located at 4607 Maccorkle Ave Sw Suite 200, South Charleston WV 25309-1364. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Brown, Elizabeth Lantz can be contacted via phone (304) 414-2140.Contact Information
Primary practice address
4607 Maccorkle Ave Sw Suite 200
South Charleston WV 25309-1364
Phone: (304) 414-2140
Fax: (304) 250-9941
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 20430 | West Virginia |
Profile Details
| NPI number | 1801848197 |
|---|---|
| LBN Legal business name | Brown, Elizabeth Lantz |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2006 |
| Last updated | Aug 16th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801848197 | NPPES |
| West Virginia | MEDICAID | 1803923000 |
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