Individual
ELIZABETH A PICKERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1450 N COUNTY ROAD 2050 E, CARTHAGE, IL 62321-3551
(217) 357-2173
(217) 357-3610
Mailing address
PO BOX 160, CARTHAGE, IL 62321-0160
(217) 357-8500
(217) 357-8697
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085007854
IL
363A00000X
Physician Assistant
PA60180643
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0149PI
REGENCE
WA
01
—
0268578
DEPT OF LABOR & INDUSTRIES
WA
Enumeration date
08/31/2010
Last updated
11/19/2021
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