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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275929630 NPPES
Oregon MEDICAID 500695711

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