Garrett, Elizabeth A

Garrett, Elizabeth A is an individual health care provider with primary practice located at 3217 S Providence Rd , Columbia MO 65203-3639. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Garrett, Elizabeth A can be contacted via phone (573) 884-8700.

Contact Information

Primary practice address
3217 S Providence Rd Columbia MO 65203-3639
Phone: (573) 884-8700
Fax: (573) 884-5604
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36165 Missouri

Profile Details

NPI number 1073571055
LBN Legal business name Garrett, Elizabeth A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Dec 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073571055 NPPES
Missouri Other 13038 BLUE SHIELD/BLUE CHOICE
Missouri Other 2086331401 BLUE SHIELD/BLUE CHOICE
Missouri Other 102474 BLUE SHIELD/BLUE CHOICE
Missouri Other 104136 BLUE SHIELD/BLUE CHOICE

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