Widaski, Elizabeth H.

Widaski, Elizabeth H. is an individual health care provider with primary practice located at 4200 W Memorial Rd Ste 410 , Oklahoma City OK 73120-8305. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Widaski, Elizabeth H. can be contacted via phone (405) 608-3866.

Contact Information

Primary practice address
4200 W Memorial Rd Ste 410 Oklahoma City OK 73120-8305
Phone: (405) 608-3866
Fax: (405) 607-2976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 632316 Texas
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 91951 Oklahoma

Profile Details

NPI number 1730224924
LBN Legal business name Widaski, Elizabeth H.
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Feb 24th, 2017 - about 9 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 1730224924 NPPES
Oklahoma MEDICAID 200197740A

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