Fidler, Elizabeth

Fidler, Elizabeth is an individual health care provider with primary practice located at 146 S Granite St , Prescott AZ 86303-4710. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Fidler, Elizabeth can be contacted via phone (928) 717-3236.

Contact Information

Primary practice address
146 S Granite St Prescott AZ 86303-4710
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1801099833
LBN Legal business name Fidler, Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2007
Last updated Jul 8th, 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 1801099833 NPPES
Arizona MEDICAID 595358

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