Bernardy, Elizabeth Ann
Bernardy, Elizabeth Ann is an sole proprietor health care provider with primary practice located at 1115 Har-Ber Rd , Grove OK 74344. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist, Agencies / Case Management. Agencies / Case Management is her primary health care specialty. Bernardy, Elizabeth Ann can be contacted via phone (844) 458-2100.Contact Information
Primary practice address
1115 Har-Ber Rd
Grove OK 74344
Phone: (844) 458-2100
Fax: (918) 796-4435
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | 22-QMHA-R-2935 | Oregon |
Other Service Providers / Peer Specialist | 175T00000X | 22-CRM-114 | Oregon |
Agencies / Case Management | 251B00000X |
Profile Details
NPI number | 1801521414 |
---|---|
LBN Legal business name | Bernardy, Elizabeth Ann |
Credentials | CM II |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 18th, 2022 |
Last updated | Nov 13th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1801521414 | NPPES |
Oregon | Other | 2733121 | ODL |
Oregon | MEDICAID | 500808956 | ODL |
Oregon | Other | THW107282 | ODL |
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