Elder, Virginia C
Elder, Virginia C is an individual health care provider with primary practice located at 1 University Blvd , La Grande OR 97850-2807. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Elder, Virginia C can be contacted via phone (541) 962-3524.Contact Information
Primary practice address
1 University Blvd
La Grande OR 97850-2807
Phone: (541) 962-3524
Fax: (541) 962-3825
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 85074374 | Oregon |
Profile Details
| NPI number | 1235215229 |
|---|---|
| LBN Legal business name | Elder, Virginia C |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Nov 10th, 2010 - about 14 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 | 1235215229 | NPPES |
| Oregon | Other | 0000WCTBM | MEDICARE GROUP |
| Oregon | MEDICAID | 061556 | MEDICARE GROUP |
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