Roseberry, Elizabeth Ann
Roseberry, Elizabeth Ann is an sole proprietor health care provider with primary practice located at 1446 Eagle Pass Dr , Marion OH 43302-8138. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Roseberry, Elizabeth Ann can be contacted via phone (740) 382-3511.Contact Information
Primary practice address
1446 Eagle Pass Dr
Marion OH 43302-8138
Phone: (740) 382-3511
Fax: (740) 382-0682
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | H0774 | Texas |
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 0101045048 | Virginia |
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 17120 | West Virginia |
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 35079875 | Ohio |
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | M9182 | Idaho |
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 43579 | Colorado |
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 10702 | North Dakota |
Profile Details
NPI number | 1609879196 |
---|---|
LBN Legal business name | Roseberry, Elizabeth Ann |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 27th, 2005 |
Last updated | May 10th, 2009 - about 15 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 | 1609879196 | NPPES |
West Virginia | Other | 17120 | MEDICAL LICENSE |
West Virginia | Other | 10702 | MEDICAL LICENSE |
West Virginia | Other | H0774 | MEDICAL LICENSE |
West Virginia | Other | 0101045048 | MEDICAL LICENSE |
West Virginia | Other | 35079875 | MEDICAL LICENSE |
West Virginia | Other | 43579 | MEDICAL LICENSE |
West Virginia | Other | M9182 | MEDICAL LICENSE |
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