Conroy, Ellen Davis

Conroy, Ellen Davis is an individual health care provider with primary practice located at 3900 Woodland Ave Pvamc Department Of Behavioral Health, Philadelphia PA 19104-4551. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Conroy, Ellen Davis can be contacted via phone (215) 823-5800.

Contact Information

Primary practice address
3900 Woodland Ave Pvamc Department Of Behavioral Health Philadelphia PA 19104-4551
Phone: (215) 823-5800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS005839L Pennsylvania
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X OS005839L Pennsylvania
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X OS005839L Pennsylvania

Profile Details

NPI number 1477585834
LBN Legal business name Conroy, Ellen Davis
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Nov 15th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477585834 NPPES
Pennsylvania MEDICAID 0010727570001

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