Etzel, Beatrice A

Etzel, Beatrice A is an individual health care provider with primary practice located at 2500 Metrohealth Dr , Cleveland OH 44109-1900. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Etzel, Beatrice A can be contacted via phone (216) 778-5965.

Contact Information

Primary practice address
2500 Metrohealth Dr Cleveland OH 44109-1900
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X NS-04845 Ohio

Profile Details

NPI number 1750436630
LBN Legal business name Etzel, Beatrice A
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Jan 3rd, 2013 - about 11 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 1750436630 NPPES
Ohio MEDICAID 2574067
Ohio Other 000000362284

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