Kellner, Elizabeth
Kellner, Elizabeth is an sole proprietor health care provider with primary practice located at 2468 Tremont St , North Bend OR 97459-3320. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Kellner, Elizabeth can be contacted via phone (541) 756-0156.Contact Information
Primary practice address
2468 Tremont St
North Bend OR 97459-3320
Phone: (541) 756-0156
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Pediatric Dentistry | 1223P0221X | D11686 | Oregon |
Dental Providers / Pediatric Dentistry | 1223P0221X | 073 | Oklahoma |
Profile Details
NPI number | 1760521934 |
---|---|
LBN Legal business name | Kellner, Elizabeth |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 5th, 2007 |
Last updated | Nov 9th, 2022 - about 3 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 | 1760521934 | NPPES |
Oklahoma | MEDICAID | 200062680A |
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