Dickens, Elizabeth L

Dickens, Elizabeth L is an individual health care provider with primary practice located at 2980 Long Prairie Rd Suite E, Flower Mound TX 75022-4845. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Dickens, Elizabeth L can be contacted via phone (972) 899-9787.

Contact Information

Primary practice address
2980 Long Prairie Rd Suite E Flower Mound TX 75022-4845
Phone: (972) 899-9787
Fax: (972) 899-9786
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 536369 Texas

Profile Details

NPI number 1174529598
LBN Legal business name Dickens, Elizabeth L
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Apr 30th, 2013 - 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 1174529598 NPPES
Other 8Y8646 BLUE CROSS BLUE SHIELD OF TEXAS
MEDICAID 141996203 BLUE CROSS BLUE SHIELD OF TEXAS

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