Ellenberg, Bevin Lyle

Ellenberg, Bevin Lyle is an individual health care provider with primary practice located at 832 Princeton Ave Sw , Birmingham AL 35211-1320. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Ellenberg, Bevin Lyle can be contacted via phone (205) 206-8450.

Contact Information

Primary practice address
832 Princeton Ave Sw Birmingham AL 35211-1320
Phone: (205) 206-8450
Fax: (205) 206-8364
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 1-140234 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 1-140234 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 1-140234 Alabama

Profile Details

NPI number 1780100776
LBN Legal business name Ellenberg, Bevin Lyle
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2017
Last updated Mar 17th, 2018 - about 6 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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