National Provider Identifier Database

ELIZABETH MD FACIAL PLASTIC SURGERY LLC
Facial Plastic Surgery


Contact Information

ELIZABETH MD FACIAL PLASTIC SURGERY LLC
4100 WOLCOTT AVE NE STE A
ALBUQUERQUE, NM87109-4572
Phone: 505-855-5500
Fax: 505-855-5501
Website:
Specialty Taxonomy Code
* Facial Plastic Surgery 207YS0123X

* Indicates primary specialty

NPI Profile & details for ELIZABETH MD FACIAL PLASTIC SURGERY LLC

NPI Number 1609653336
Legal business name
LBN
ELIZABETH MD FACIAL PLASTIC SURGERY LLC
Authorized official ELIZABETH BLASBERG - (PHYSICIAN/OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/14/2023
Last updated 09/14/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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