Bernardy, Elizabeth Ann

Bernardy, Elizabeth Ann is an sole proprietor health care provider with primary practice located at 1115 Har-Ber Rd , Grove OK 74344. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist, Agencies / Case Management. Agencies / Case Management is her primary health care specialty. Bernardy, Elizabeth Ann can be contacted via phone (844) 458-2100.

Contact Information

Primary practice address
1115 Har-Ber Rd Grove OK 74344
Phone: (844) 458-2100
Fax: (918) 796-4435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 22-QMHA-R-2935 Oregon
Other Service Providers / Peer Specialist 175T00000X 22-CRM-114 Oregon
Agencies / Case Management 251B00000X

Profile Details

NPI number 1801521414
LBN Legal business name Bernardy, Elizabeth Ann
Credentials CM II
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2022
Last updated Nov 13th, 2023 - about 3 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 1801521414 NPPES
Oregon Other 2733121 ODL
Oregon MEDICAID 500808956 ODL
Oregon Other THW107282 ODL

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