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Contact Information

ELIZABETH M HADDOCK, PA-C
1000 S BYRD ST
TISHOMINGO, OK73460
 Phone: 580-371-2327
 Fax: 580-371-2127
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ELIZABETH M HADDOCK · (Female)

NPI Number 1376036616
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/12/2018
Last updated 07/10/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 2817
Hospital affiliation(s)
  • MERCY HOSPITAL TISHOMINGO - (Critical Access)
    1000 SOUTH BYRD
    TISHOMINGO, OK 73460
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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