Street, Elizabeth A
Street, Elizabeth A is an sole proprietor health care provider with primary practice located at 574 Church St Ne , Marietta GA 30060-1358. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Street, Elizabeth A can be contacted via phone (770) 427-0285.Contact Information
Primary practice address
574 Church St Ne
Marietta GA 30060-1358
Phone: (770) 427-0285
Fax: (770) 424-5037
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 032307 | Georgia |
Profile Details
| NPI number | 1841288503 |
|---|---|
| LBN Legal business name | Street, Elizabeth A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 7th, 2005 |
| Last updated | Nov 17th, 2010 - about 14 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 | 1841288503 | NPPES |
| Georgia | MEDICAID | 00743322A |
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