Gantt, Elizabeth S

Gantt, Elizabeth S is an individual health care provider with primary practice located at 9420 Key West Suite 202, Rockville MD 20850. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Gantt, Elizabeth S can be contacted via phone (301) 251-9555.

Contact Information

Primary practice address
9420 Key West Suite 202 Rockville MD 20850
Fax: (301) 309-0765
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X D41612 Maryland

Profile Details

NPI number 1619973963
LBN Legal business name Gantt, Elizabeth S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Mar 1st, 2013 - about 12 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 1619973963 NPPES
Maryland MEDICAID 751141800

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