Ickes, Elizabeth Renee

Ickes, Elizabeth Renee is an individual health care provider with primary practice located at 15840 Medical Dr S Suite B, Findlay OH 45840-7833. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ickes, Elizabeth Renee can be contacted via phone (419) 425-3780.

Contact Information

Primary practice address
15840 Medical Dr S Suite B Findlay OH 45840-7833
Phone: (419) 425-3780
Fax: (419) 425-6781
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50002084 Ohio

Profile Details

NPI number 1245203421
LBN Legal business name Ickes, Elizabeth Renee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Dec 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245203421 NPPES
Ohio Other P00639340 RAILROAD MEDICARE
Ohio Other P00863389 RAILROAD MEDICARE

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