Choma, Elizabeth Gwen

Choma, Elizabeth Gwen is an individual health care provider with primary practice located at 224D Cornwall St Nw # 104, Leesburg VA 20176-2700. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Choma, Elizabeth Gwen can be contacted via phone (703) 779-0699.

Contact Information

Primary practice address
224D Cornwall St Nw # 104 Leesburg VA 20176-2700
Phone: (703) 779-0699
Fax: (703) 779-7712
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X SP009249 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0024167904 Virginia

Profile Details

NPI number 1568677326
LBN Legal business name Choma, Elizabeth Gwen
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Nov 13th, 2012 - about 13 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 1568677326 NPPES
Virginia MEDICAID 1568677326

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