Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | ME82903 | FL |
NPI | 1548278872 |
---|---|
Provider Name | Elizabeth A Beierle Chen |
First Address | Birmingham, AL 35255-5310 |
Second Address | Birmingham, AL 35233-1711 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 12/10/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02923736 | MEDICAID OF MISSISSIPPI (01) | MS |
051100162 | BCBS OF AL (01) | AL |
114192 | (05) | AL |
258898600 | (05) | FL |
G80239 | (02) |