Everson, Elizabeth Christine
Everson, Elizabeth Christine is an individual health care provider with primary practice located at 1 Childrens Pl Ste 3110, Saint Louis MO 63110-1002. She recently has only one registered license in Eye and Vision Services Providers / Pediatrics, which is considered as her primary health care specialty. Everson, Elizabeth Christine can be contacted via phone (314) 454-6026.Contact Information
Primary practice address
1 Childrens Pl Ste 3110
Saint Louis MO 63110-1002
Phone: (314) 454-6026
Fax: (866) 936-4559
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Pediatrics | 152WP0200X | 2022013961 | Missouri |
Profile Details
NPI number | 1558032102 |
---|---|
LBN Legal business name | Everson, Elizabeth Christine |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 23rd, 2021 |
Last updated | Jun 20th, 2024 - about last year |
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 | 1558032102 | NPPES |
Missouri | MEDICAID | 310109582 |
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