Harrison, Elizabeth Avis

Harrison, Elizabeth Avis is an individual health care provider with primary practice located at 4488 Forest Park Ave Ste 230, Saint Louis MO 63108-2283. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Harrison, Elizabeth Avis can be contacted via phone (314) 535-7855.

Contact Information

Primary practice address
4488 Forest Park Ave Ste 230 Saint Louis MO 63108-2283
Phone: (314) 535-7855
Fax: (314) 534-2803
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 2009012114 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2009012114 Missouri

Profile Details

NPI number 1225216054
LBN Legal business name Harrison, Elizabeth Avis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2008
Last updated May 9th, 2024 - about 4 months 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 1225216054 NPPES
Missouri MEDICAID 204207906

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