Chalom, Elizabeth

Chalom, Elizabeth is an individual health care provider with primary practice located at 200 University Ave E , Saint Paul MN 55101-2507. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Rheumatology, which is considered as her primary health care specialty. Chalom, Elizabeth can be contacted via phone (651) 291-2848.

Contact Information

Primary practice address
200 University Ave E Saint Paul MN 55101-2507
Phone: (651) 291-2848
Fax: (651) 602-6885
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Rheumatology 2080P0216X 62759 New Jersey
Allopathic & Osteopathic Physicians / Pediatric Rheumatology 2080P0216X 66643 Minnesota

Profile Details

NPI number 1154341147
LBN Legal business name Chalom, Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Dec 27th, 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 1154341147 NPPES
New Jersey MEDICAID 6866808

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