Gleghorn, Elizabeth Ellen
Gleghorn, Elizabeth Ellen is an sole proprietor health care provider with primary practice located at 747 52Nd Street , Oakland CA 94609. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is her primary health care specialty. Gleghorn, Elizabeth Ellen can be contacted via phone (510) 428-3058.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G 48774 | California |
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | G48774 | California |
Profile Details
| NPI number | 1093809659 |
|---|---|
| LBN Legal business name | Gleghorn, Elizabeth Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Aug 4th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093809659 | NPPES |
| California | Other | G48774 | STATE LICENSE |
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