Roll, Elizabeth Jane
Roll, Elizabeth Jane is an individual health care provider with primary practice located at 700 Chief Eddie Hoffman Highway , Bethel AK 99559-0287. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Roll, Elizabeth Jane can be contacted via phone (907) 543-6300.Contact Information
Primary practice address
700 Chief Eddie Hoffman Highway
Bethel AK 99559-0287
Phone: (907) 543-6300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 39865 | Minnesota |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4373 | Alaska |
Profile Details
| NPI number | 1629299623 |
|---|---|
| LBN Legal business name | Roll, Elizabeth Jane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2007 |
| Last updated | Jan 28th, 2008 - about 18 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 | 1629299623 | NPPES |
| Alaska | MEDICAID | MD4373 |
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