Eidal, Elizabeth

Eidal, Elizabeth is an individual health care provider with primary practice located at 15002 N 32Nd St , Phoenix AZ 85032-4441. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Eidal, Elizabeth can be contacted via phone (602) 867-5223.

Contact Information

Primary practice address
15002 N 32Nd St Phoenix AZ 85032-4441
Phone: (602) 867-5223
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X Arizona

Profile Details

NPI number 1881767333
LBN Legal business name Eidal, Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Jul 26th, 2007 - about 18 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 1881767333 NPPES
Arizona MEDICAID 713679

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