Katemba, Elisa Ann

Katemba, Elisa Ann is an individual health care provider with primary practice located at 2660 Reidville Rd Unit 1 , Spartanburg SC 29301-3512. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Katemba, Elisa Ann can be contacted via phone (864) 560-9696.

Contact Information

Primary practice address
2660 Reidville Rd Unit 1 Spartanburg SC 29301-3512
Phone: (864) 560-9696
Fax: (864) 560-9636
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 20262 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20262 South Carolina

Profile Details

NPI number 1689644015
LBN Legal business name Katemba, Elisa Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Sep 24th, 2020 - about 4 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 1689644015 NPPES
South Carolina MEDICAID 202621
South Carolina Other G902256067

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