Pidcock, Elizabeth Ann

Pidcock, Elizabeth Ann is an individual health care provider with primary practice located at 529 N Grand , Enid OK 73701. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Pidcock, Elizabeth Ann can be contacted via phone (508) 234-8880.

Contact Information

Primary practice address
529 N Grand Enid OK 73701
Fax: (580) 234-8891
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1371 Oklahoma

Profile Details

NPI number 1457385825
LBN Legal business name Pidcock, Elizabeth Ann
Credentials MSW LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 8th, 2007 - about 19 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 1457385825 NPPES
Oklahoma MEDICAID 200026330A

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