Grivett, Elizabeth Ann
Grivett, Elizabeth Ann is an sole proprietor health care provider with primary practice located at 360 San Miguel Dr Suite 501, Newport Beach CA 92660-7853. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Grivett, Elizabeth Ann can be contacted via phone (949) 644-1025.Contact Information
Primary practice address
360 San Miguel Dr Suite 501
Newport Beach CA 92660-7853
Phone: (949) 644-1025
Fax: (949) 719-4930
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA13761 | California |
Profile Details
| NPI number | 1295777068 |
|---|---|
| LBN Legal business name | Grivett, Elizabeth Ann |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295777068 | NPPES |
| California | Other | WPA13761C | PERFORMING PHYSICIAN ID# |
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