Deterding, Elizabeth C

Deterding, Elizabeth C is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as her primary health care specialty. Deterding, Elizabeth C can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
Medical Center Blvd Winston Salem NC 27157-0001
Phone: (336) 716-2255
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 9601589 North Carolina

Profile Details

NPI number 1033187331
LBN Legal business name Deterding, Elizabeth C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Oct 27th, 2020 - about 4 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 1033187331 NPPES
Other 129N5 BCBS
Other 390008126 BCBS
MEDICAID 5881447 BCBS
Other D0554 BCBS
MEDICAID Q01589 BCBS
Other 7644357 BCBS
MEDICAID 2005256000 BCBS
MEDICAID 89129N5 BCBS
Other 43078 BCBS

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