Ellen, Stacy Beth

Ellen, Stacy Beth is an individual health care provider with primary practice located at 160 E Erie Ave , Philadelphia PA 19134-1011. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ellen, Stacy Beth can be contacted via phone (215) 427-5000.

Contact Information

Primary practice address
160 E Erie Ave Philadelphia PA 19134-1011
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS016136 Pennsylvania

Profile Details

NPI number 1467680769
LBN Legal business name Ellen, Stacy Beth
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2009
Last updated May 21st, 2024 - about 2 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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