Individual
ELIZABETH CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
33001 SOLON RD STE 115, SOLON, OH 44139-2864
(440) 349-4714
(440) 349-2729
Mailing address
24701 EUCLID AVE, EUCLID, OH 44117-1714
(440) 349-4714
(440) 349-2729
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35078572C
OH
208000000X
Pediatrics Physician
Primary
35-78572
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2232462
—
OH
01
—
942460636331
CARESOURCE
OH
Enumeration date
06/08/2006
Last updated
09/22/2011
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