Eagleson, Elizabeth A
Eagleson, Elizabeth A is an individual health care provider with primary practice located at 380 Plainfield St , Springfield MA 01107-1524. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Eagleson, Elizabeth A can be contacted via phone (413) 794-4458.Contact Information
Primary practice address
380 Plainfield St
Springfield MA 01107-1524
Phone: (413) 794-4458
Fax: (413) 794-5131
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 224614 | Massachusetts |
Profile Details
| NPI number | 1538139993 |
|---|---|
| LBN Legal business name | Eagleson, Elizabeth A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Dec 22nd, 2017 - about 7 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 | 1538139993 | NPPES |
| Massachusetts | Other | 31750 | BOSTON HEALTH NET |
| Massachusetts | Other | 0036803 | BOSTON HEALTH NET |
| Massachusetts | Other | EAJ29307 | BOSTON HEALTH NET |
| Massachusetts | MEDICAID | 03203156 | BOSTON HEALTH NET |
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