Herseth, Elizabeth
Herseth, Elizabeth is an individual health care provider with primary practice located at 1810 116Th Ave Ne , Bellevue WA 98004. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Herseth, Elizabeth can be contacted via phone (425) 453-1039.Contact Information
Primary practice address
1810 116Th Ave Ne
Bellevue WA 98004
Phone: (425) 453-1039
Fax: (425) 453-8955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00022114 | Washington |
Profile Details
| NPI number | 1174507602 |
|---|---|
| LBN Legal business name | Herseth, Elizabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2005 |
| 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 | 1174507602 | NPPES |
| Washington | MEDICAID | 1007814 |
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