Elliott, Joanna
Elliott, Joanna is an individual health care provider with primary practice located at 1611 Main St Ste 102 , Woodward OK 73801-3064. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Elliott, Joanna can be contacted via phone (580) 254-8692.Contact Information
Primary practice address
1611 Main St Ste 102
Woodward OK 73801-3064
Phone: (580) 254-8692
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 88924 | Oklahoma |
Profile Details
| NPI number | 1124419981 |
|---|---|
| LBN Legal business name | Elliott, Joanna |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2015 |
| Last updated | Oct 20th, 2020 - 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 | 1124419981 | NPPES |
| Oklahoma | MEDICAID | 200574930A |
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