Fedor, Elizabeth
Fedor, Elizabeth is an individual health care provider with primary practice located at 1137 Emerald Bay Rd , South Lake Tahoe CA 96150-6207. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Fedor, Elizabeth can be contacted via phone (530) 541-5190.Contact Information
Primary practice address
1137 Emerald Bay Rd
South Lake Tahoe CA 96150-6207
Phone: (530) 541-5190
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 148 L | Nevada |
Profile Details
| NPI number | 1467656645 |
|---|---|
| LBN Legal business name | Fedor, Elizabeth |
| Credentials | LADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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