Bivens, Elizabeth Edith

Bivens, Elizabeth Edith is an individual health care provider with primary practice located at 3400 W Tecumseh Rd Suite 205, Norman OK 73072-1810. 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. Bivens, Elizabeth Edith can be contacted via phone (405) 360-7100.

Contact Information

Primary practice address
3400 W Tecumseh Rd Suite 205 Norman OK 73072-1810
Phone: (405) 360-7100
Fax: (405) 364-9112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA806 Oklahoma

Profile Details

NPI number 1447258405
LBN Legal business name Bivens, Elizabeth Edith
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Aug 29th, 2016 - about 10 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 1447258405 NPPES
Oklahoma MEDICAID 100125270A

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