Adcock, Elizabeth Johnston

Adcock, Elizabeth Johnston is an individual health care provider with primary practice located at 19254 Rogers Clark Blvd , Ruther Glen VA 22546-4010. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Adcock, Elizabeth Johnston can be contacted via phone (804) 633-9997.

Contact Information

Primary practice address
19254 Rogers Clark Blvd Ruther Glen VA 22546-4010
Phone: (804) 633-9997
Fax: (540) 371-3753
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904009041 Virginia

Profile Details

NPI number 1255624672
LBN Legal business name Adcock, Elizabeth Johnston
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2011
Last updated Aug 10th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255624672 NPPES
Virginia MEDICAID 004945182

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