Roderick, Elizabeth

Roderick, Elizabeth is an individual health care provider with primary practice located at 5301 Faraon St Ste 220 , Saint Joseph MO 64506-3800. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Roderick, Elizabeth can be contacted via phone (816) 271-8131.

Contact Information

Primary practice address
5301 Faraon St Ste 220 Saint Joseph MO 64506-3800
Phone: (816) 271-8131
Fax: (816) 271-8132
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 138383 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 138383 Missouri

Profile Details

NPI number 1801099874
LBN Legal business name Roderick, Elizabeth
Credentials APRN-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2007
Last updated May 16th, 2011 - about 13 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 1801099874 NPPES
Kansas MEDICAID 200672230A
Kansas MEDICAID 428451702
Kansas MEDICAID 1801099874

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