Sanford, Elizabeth Grace
Sanford, Elizabeth Grace is an individual health care provider with primary practice located at 315 Martin Luther King Jr Way , Tacoma WA 98405-4234. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Sanford, Elizabeth Grace can be contacted via phone (253) 403-1000.Contact Information
Primary practice address
315 Martin Luther King Jr Way
Tacoma WA 98405-4234
Phone: (253) 403-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD00022365 | Washington |
Profile Details
| NPI number | 1700861861 |
|---|---|
| LBN Legal business name | Sanford, Elizabeth Grace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2005 |
| Last updated | Feb 26th, 2016 - about 8 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 | 1700861861 | NPPES |
| Other | SA4585 | REGENCE | |
| MEDICAID | 1012897 | REGENCE | |
| Other | 0270550 | REGENCE | |
| Other | G8895320 | REGENCE |
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