Sanders, Elizabeth

Sanders, Elizabeth is an individual health care provider with primary practice located at 732 Harrison Ave Preston, 5Th Fl, Boston MA 02118. She recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Sanders, Elizabeth can be contacted via phone (617) 414-6841.

Contact Information

Primary practice address
732 Harrison Ave Preston, 5Th Fl Boston MA 02118
Phone: (617) 414-6841
Fax: (617) 414-6710
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 113 Puerto Rico
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 2520 Massachusetts

Profile Details

NPI number 1962822452
LBN Legal business name Sanders, Elizabeth
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2014
Last updated Jan 12th, 2024 - about 11 months 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 1962822452 NPPES
Massachusetts MEDICAID 110110313A

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