1548477193 NPI number — ELIZABETH WHIPKEY LPC

Table of content: ELIZABETH WHIPKEY LPC (NPI 1548477193)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548477193 NPI number — ELIZABETH WHIPKEY LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WHIPKEY
Provider First Name:
ELIZABETH
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548477193
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/19/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10720 S 4120 RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OOLOGAH
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
74053-6352
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
918-640-6143
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
24797 S HIGHWAY 66
Provider Second Line Business Practice Location Address:
SUITE 5
Provider Business Practice Location Address City Name:
CLAREMORE
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74019-2411
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
918-824-1310
Provider Business Practice Location Address Fax Number:
918-738-2301
Provider Enumeration Date:
05/16/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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