Mitchell, Ellen Lide

Mitchell, Ellen Lide is an individual health care provider with primary practice located at 160 E Erie Ave , Philadelphia PA 19134. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is her primary health care specialty. Mitchell, Ellen Lide can be contacted via phone (215) 427-6778.

Contact Information

Primary practice address
160 E Erie Ave Philadelphia PA 19134
Phone: (215) 427-6778
Fax: (215) 427-6782
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD455417 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X MD455417 Pennsylvania

Profile Details

NPI number 1952669186
LBN Legal business name Mitchell, Ellen Lide
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2012
Last updated May 22nd, 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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