Ferlic, Elisabeth A

Ferlic, Elisabeth A is an individual health care provider with primary practice located at 9720 S 1300 E Suite E230, Sandy UT 84094-3712. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Ferlic, Elisabeth A can be contacted via phone (801) 501-2950.

Contact Information

Primary practice address
9720 S 1300 E Suite E230 Sandy UT 84094-3712
Fax: (801) 501-2951
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 42235 Arizona
Allopathic & Osteopathic Physicians / Urology 208800000X 56312 Minnesota
Allopathic & Osteopathic Physicians / Urology 208800000X 9017811-1205 Utah

Profile Details

NPI number 1114185634
LBN Legal business name Ferlic, Elisabeth A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2008
Last updated Jan 11th, 2016 - about 8 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 1114185634 NPPES
Arizona MEDICAID 470009

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