Wack, Elizabeth E

Wack, Elizabeth E is an individual health care provider with primary practice located at 2001 W. Orange Grove Rd Suite 404, Tucson AZ 85704. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Wack, Elizabeth E can be contacted via phone (520) 989-0226.

Contact Information

Primary practice address
2001 W. Orange Grove Rd Suite 404 Tucson AZ 85704
Fax: (520) 989-3798
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 14736 Arizona

Profile Details

NPI number 1598753865
LBN Legal business name Wack, Elizabeth E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Feb 15th, 2017 - about 7 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 1598753865 NPPES
Arizona MEDICAID 266446

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