Pfohl, Elizabeth

Pfohl, Elizabeth is an individual health care provider with primary practice located at 4207 Glass Rd Ne , Cedar Rapids IA 52402-2538. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Pfohl, Elizabeth can be contacted via phone (192) 948-1813.

Contact Information

Primary practice address
4207 Glass Rd Ne Cedar Rapids IA 52402-2538
Phone: (192) 948-1813
Fax: (319) 261-8182
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 09682 Iowa
Dental Providers / Pediatric Dentistry 1223P0221X DDS-09682 Iowa

Profile Details

NPI number 1740747583
LBN Legal business name Pfohl, Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2019
Last updated Jul 23rd, 2021 - 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 1740747583 NPPES
Iowa Other DDS-09682 STATE LICENSE NUMBER

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