Doeller, Elizabeth Grace

Doeller, Elizabeth Grace is an sole proprietor health care provider with primary practice located at 6336 Willingham Dr , Roanoke VA 24018. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program, Emergency Medical Service Providers / Emergency Medical Technician, Basic. Emergency Medical Service Providers / Emergency Medical Technician, Basic is her primary health care specialty. Doeller, Elizabeth Grace can be contacted via phone (571) 232-8463.

Contact Information

Primary practice address
6336 Willingham Dr Roanoke VA 24018
Phone: (571) 232-8463
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2000053256
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X B202000357 Virginia

Profile Details

NPI number 1588318836
LBN Legal business name Doeller, Elizabeth Grace
Credentials ATC, EMT-B
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2022
Last updated May 22nd, 2023 - 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 1588318836 NPPES
Other 2000053256 CERTIFIED ATHLETIC TRAINER
Other B202000367 CERTIFIED ATHLETIC TRAINER

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