Tito, Elizabeth P

Tito, Elizabeth P is an individual health care provider with primary practice located at 121 Sotoyome St Ste 203 , Santa Rosa CA 95405-4822. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Tito, Elizabeth P can be contacted via phone (707) 525-6180.

Contact Information

Primary practice address
121 Sotoyome St Ste 203 Santa Rosa CA 95405-4822
Phone: (707) 525-6180
Fax: (707) 545-1145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 213256 Massachusetts
Allopathic & Osteopathic Physicians / Surgery 208600000X G148486 California

Profile Details

NPI number 1629092309
LBN Legal business name Tito, Elizabeth P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Nov 11th, 2021 - about 3 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 1629092309 NPPES
Massachusetts MEDICAID 2100746

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