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
Phone: (928) 717-3236
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1801099833 | NPPES |
Arizona | MEDICAID | 595358 |
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