Wanner, Elizabeth J
Wanner, Elizabeth J is an sole proprietor health care provider with primary practice located at 1101 Alma St Ste 102, Tomball TX 77375-4559. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wanner, Elizabeth J can be contacted via phone (281) 351-1411.Contact Information
Primary practice address
1101 Alma St Ste 102
Tomball TX 77375-4559
Phone: (281) 351-1411
Fax: (281) 351-0240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | H8495 | Texas |
Profile Details
| NPI number | 1922004969 |
|---|---|
| LBN Legal business name | Wanner, Elizabeth J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Apr 26th, 2012 - about 13 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 | 1922004969 | NPPES |
| Texas | MEDICAID | 111660001 |
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