Church, Elizabeth Ann
Church, Elizabeth Ann is an sole proprietor health care provider with primary practice located at 1255 W Side Blvd , Butte MT 59701-2209. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Church, Elizabeth Ann can be contacted via phone (406) 490-9664.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NUR-APRN-LIC-165085 | Montana |
Profile Details
| NPI number | 1013519008 |
|---|---|
| LBN Legal business name | Church, Elizabeth Ann |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 13th, 2020 |
| Last updated | May 26th, 2021 - about 3 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 | 1013519008 | NPPES |
| Montana | MEDICAID | NUR-APRN-LIC-165085 |
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