Provider Demographics
NPI:1851734933
Name:ST. ELIZABETH PHYSICIANS
Entity Type:Organization
Organization Name:ST. ELIZABETH PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING CLERK
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:MARCIE
Authorized Official - Last Name:SCHABELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-344-5498
Mailing Address - Street 1:2300 CHAMBER CENTER DR
Mailing Address - Street 2:
Mailing Address - City:LAKESIDE PARK
Mailing Address - State:KY
Mailing Address - Zip Code:41017-1673
Mailing Address - Country:US
Mailing Address - Phone:859-344-5498
Mailing Address - Fax:859-344-5551
Practice Address - Street 1:2300 CHAMBER CENTER DR
Practice Address - Street 2:
Practice Address - City:LAKESIDE PARK
Practice Address - State:KY
Practice Address - Zip Code:41017-1673
Practice Address - Country:US
Practice Address - Phone:859-344-5498
Practice Address - Fax:859-344-5551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-09
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty