Pickvance, Elizabeth A

Pickvance, Elizabeth A is an individual health care provider with primary practice located at 2350 N Rockton Ave , Rockford IL 61103-3600. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery is her primary health care specialty. Pickvance, Elizabeth A can be contacted via phone (815) 971-7400.

Contact Information

Primary practice address
2350 N Rockton Ave Rockford IL 61103-3600
Phone: (815) 971-7400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 14838R Louisiana
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 24215 Oklahoma
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD.14838R Louisiana
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X 036141771 Illinois

Profile Details

NPI number 1508836107
LBN Legal business name Pickvance, Elizabeth A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jul 21st, 2022 - about 2 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 1508836107 NPPES
Oklahoma MEDICAID 200189090A
Oklahoma MEDICAID 1148703

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