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
Fax: (740) 382-0682
Website:

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.

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Identifiers

StateTypeNumberIssuer
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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