Daze, Elizabeth A
Daze, Elizabeth A is an individual health care provider with primary practice located at 6640 Johnson Dr , Mission KS 66202-2617. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Daze, Elizabeth A can be contacted via phone (913) 384-5810.Contact Information
Primary practice address
6640 Johnson Dr
Mission KS 66202-2617
Phone: (913) 384-5810
Fax: (913) 384-0719
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2006021634 | Missouri |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1103763 | Kansas |
Profile Details
| NPI number | 1104865997 |
|---|---|
| LBN Legal business name | Daze, Elizabeth A |
| Credentials | PT, DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Nov 21st, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104865997 | NPPES |
| Kansas | Other | KA2868025 | MEDICARE PTAN |
| Kansas | Other | 37204058 | MEDICARE PTAN |
| Kansas | Other | MA4370060 | MEDICARE PTAN |
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