Provider Demographics
NPI:1871901926
Name:OAKES, ELISABETH (IDC)
Entity type:Individual
Prefix:
First Name:ELISABETH
Middle Name:
Last Name:OAKES
Suffix:
Gender:F
Credentials:IDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:USS FRANK CABLE
Mailing Address - Street 2:MEDICAL
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96657-2615
Mailing Address - Country:US
Mailing Address - Phone:671-343-2545
Mailing Address - Fax:
Practice Address - Street 1:USS FRANK CABLE
Practice Address - Street 2:MEDICAL
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96657-2615
Practice Address - Country:US
Practice Address - Phone:671-343-2545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman