Dr. Elizabeth A Pickvance
Orthopaedic Surgeon Pediatric Orthopaedic Surgeon
2350 N Rockton Ave
Rockford
, Illinois 61103-3600
Dr. Elizabeth A Pickvance
Orthopaedic Surgeon Pediatric Orthopaedic Surgeon
2350 N Rockton Ave
Rockford
, Illinois 61103-3600
(815) 971-7400
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About
Features
Specialties
- Orthopaedic Surgeon
- Pediatric Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Elizabeth A Pickvance
- 2400 N Rockton Ave
- Rockford, IL
- Zip : 61103-3655
- Phone : (815) 971-7400
Second Address
- Dr. Elizabeth A Pickvance
- 2350 N Rockton Ave
- Rockford, IL
- Zip : 61103-3600
- Phone : (815) 971-7400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | 14838R | LA |
| N | 207X00000X | Orthopaedic Surgeon | 24215 | OK |
| N | 207X00000X | Orthopaedic Surgeon | MD.14838R | LA |
| Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 036141771 | IL |
National Provider Identifier
| NPI | 1508836107 |
|---|---|
| Provider Name | Dr. Elizabeth A Pickvance |
| First Address | Rockford, IL 61103-3655 |
| Second Address | Rockford, IL 61103-3600 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/01/2006 |
| Last Update Date | 23/08/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1148703 | (05) | LA |
| 200189090A | (05) | OK |
| E82412 | (02) | |
| E82412 | (02) | LA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.