Hereford, Elizabeth Ann

Hereford, Elizabeth Ann is an sole proprietor health care provider with primary practice located at 999 S Fairmont Ave Ste 220 , Lodi CA 95240-5142. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Hereford, Elizabeth Ann can be contacted via phone (209) 334-9462.

Contact Information

Primary practice address
999 S Fairmont Ave Ste 220 Lodi CA 95240-5142
Fax: (209) 334-9470
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 00G53434 California

Profile Details

NPI number 1710012117
LBN Legal business name Hereford, Elizabeth Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2007
Last updated Jul 8th, 2007 - about 18 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 1710012117 NPPES
California Other 00G53434 MEDICARE
California Other A52522 MEDICARE

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