Ennis, Elizabeth D

Ennis, Elizabeth D is an individual health care provider with primary practice located at 840 Montclair Rd Suite 317, Birmingham AL 35213-1920. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Ennis, Elizabeth D can be contacted via phone (205) 592-5135.

Contact Information

Primary practice address
840 Montclair Rd Suite 317 Birmingham AL 35213-1920
Phone: (205) 592-5135
Fax: (205) 592-5694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 15220 Alabama

Profile Details

NPI number 1346330669
LBN Legal business name Ennis, Elizabeth D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2006
Last updated Feb 21st, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346330669 NPPES
Alabama MEDICAID 000022952
Alabama MEDICAID 000022953

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