Provider Demographics
NPI:1912344110
Name:BIEHL, ELIZABETH ROST (DC)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ROST
Last Name:BIEHL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 ELLIOTT ST
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-3309
Mailing Address - Country:US
Mailing Address - Phone:781-593-2388
Mailing Address - Fax:781-593-2399
Practice Address - Street 1:16 ELLIOTT ST
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-3309
Practice Address - Country:US
Practice Address - Phone:978-921-2225
Practice Address - Fax:978-921-2227
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-29
Last Update Date:2017-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009125111N00000X
MI2301010093111N00000X
MA3489111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAS400208728Medicare PIN