Short, Elizabeth Ann

Short, Elizabeth Ann is an individual health care provider with primary practice located at 2209 W Detroit St , Broken Arrow OK 74012-3628. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Short, Elizabeth Ann can be contacted via phone (918) 615-6492.

Contact Information

Primary practice address
2209 W Detroit St Broken Arrow OK 74012-3628
Phone: (918) 615-6492
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP#2413 Arkansas
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3422 Oklahoma

Profile Details

NPI number 1750410288
LBN Legal business name Short, Elizabeth Ann
Credentials MCD, CCC SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
Last updated Mar 17th, 2022 - about 4 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 1750410288 NPPES
Arkansas MEDICAID 158836721

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