Phelan, Elizabeth Anne

Phelan, Elizabeth Anne is an individual health care provider with primary practice located at 325 9Th Ave , Seattle WA 98104-2499. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Phelan, Elizabeth Anne can be contacted via phone (206) 744-3000.

Contact Information

Primary practice address
325 9Th Ave Seattle WA 98104-2499
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00033750 Washington
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MD00033750 Washington

Profile Details

NPI number 1316023070
LBN Legal business name Phelan, Elizabeth Anne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Jan 5th, 2012 - about 12 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 1316023070 NPPES
Washington Other 930096000 RAIL ROAD MEDICARE
Washington Other 4769 RAIL ROAD MEDICARE
Washington MEDICAID 8263964 RAIL ROAD MEDICARE

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