Eckerd, Lizabeth M.
Eckerd, Lizabeth M. is an sole proprietor health care provider with primary practice located at 4497 Brown Ridge Ter Ste 106 , Medford OR 97504-9173. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Eckerd, Lizabeth M. can be contacted via phone (502) 938-4723.Contact Information
Primary practice address
4497 Brown Ridge Ter Ste 106
Medford OR 97504-9173
Phone: (502) 938-4723
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1716 | Kentucky |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2559 | Oregon |
Profile Details
| NPI number | 1275929630 |
|---|---|
| LBN Legal business name | Eckerd, Lizabeth M. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2015 |
| Last updated | May 13th, 2021 - about 4 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 | 1275929630 | NPPES |
| Oregon | MEDICAID | 500695711 |
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