Elizabeth V Fruner, PTA is a
Physical Medicine & Rehabilitation physician based in Sonoma, California. Elizabeth V Fruner is licensed to practice in California (license number 49804) and her current practice location is 678 2nd St W, Sonoma, California. She can be reached at her office (for appointments etc.) via phone at
(707) 938-1096.
NPI number for Elizabeth V Fruner is 1073195012 and her current mailing address is 905 Maple St, Hoquiam, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073195012.
Physician's Profile
| Full Name | Elizabeth V Fruner |
|---|
| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 678 2nd St W, Sonoma, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1073195012
- Provider Enumeration Date: 04/28/2021
- Last Update Date: 04/28/2021
Medical Identifiers
Medical identifiers for Elizabeth V Fruner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073195012 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 49804 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elizabeth V Fruner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Elizabeth V Fruner, PTA
905 Maple St,
Hoquiam, WA 98550-2110
Ph: (360) 917-5253 | Elizabeth V Fruner, PTA
678 2nd St W,
Sonoma, CA 95476-6901
Ph: (707) 938-1096 |
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