Individual
MS. ELIZABETH ANN ROSEBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1446 EAGLE PASS DR, MARION, OH 43302-8138
(740) 382-3511
(740) 382-0682
Mailing address
1446 EAGLE PASS DR, MARION, OH 43302-8138
(740) 382-3511
(740) 382-0682
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
0101045048
VA
2080N0001X
Neonatal-Perinatal Medicine Physician
10702
ND
2080N0001X
Neonatal-Perinatal Medicine Physician
17120
WV
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
35079875
OH
2080N0001X
Neonatal-Perinatal Medicine Physician
43579
CO
2080N0001X
Neonatal-Perinatal Medicine Physician
H0774
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
M9182
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101045048
MEDICAL LICENSE
VA
01
—
10702
STATE LICENSE
ND
01
—
17120
MEDICAL LICENSE
WV
01
—
35079875
MEDICAL LICENSE
OH
01
—
43579
MEDICAL LICENSE
CO
01
—
H0774
MEDICAL LICENSE
TX
01
—
M9182
MEDICAL LICENSE
ID
Enumeration date
05/27/2005
Last updated
05/10/2009
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