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

Primary practice address
1255 W Side Blvd Butte MT 59701-2209
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013519008 NPPES
Montana MEDICAID NUR-APRN-LIC-165085

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