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Contact Information

ELIZABETE R CRUZ, LMP
200 S ALMON ST
SUITE 102
MOSCOW, ID83843-2098
 Phone: 208-882-8534
 Fax: 208-882-6866
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mechanotherapist

172M00000X
Indicates primary specialty

NPI Profile & details for ELIZABETE R CRUZ · (Female)

NPI # 1689844540
Status Active
Credentials LMP (Licensed Medical Practitioner)
Entity Individual
Enumeration date 03/06/2008
Last updated 03/06/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # MA00024192
Hospital affiliation(s) Not Available
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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