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Contact Information

ELIZABETH K PROFFITT, MD
1250 E MARSHALL ST
RICHMOND, VA23298
 Phone: 804-828-6831
 Fax: 804-628-1132
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ELIZABETH K PROFFITT · (Female)

NPI # 1639512999
Status Active
Credentials MD
Entity Individual
Enumeration date 04/16/2013
Last updated 07/22/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 316114
  • VA License # 0101258988
Hospital affiliation(s)
  • MEDICAL COLLEGE OF VIRGINIA HOSPITALS - (Acute Care)
    1250 EAST MARSHALL STREET - BOX 980510
    RICHMOND, VA 23298
  • RIVERSIDE TAPPAHANNOCK HOSPITAL - (Acute Care)
    618 HOSPITAL ROAD
    TAPPAHANNOCK, VA 22560
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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