Mustovic, Ellen Haidet
Mustovic, Ellen Haidet is an individual health care provider with primary practice located at 101 N Meadows Dr Ste 112 , Wexford PA 15090-8368. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Mustovic, Ellen Haidet can be contacted via phone (724) 772-5410.Contact Information
Primary practice address
101 N Meadows Dr Ste 112
Wexford PA 15090-8368
Phone: (724) 772-5410
Fax: (724) 772-5413
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | MD039443E | Pennsylvania |
Profile Details
| NPI number | 1376541466 |
|---|---|
| LBN Legal business name | Mustovic, Ellen Haidet |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Jan 20th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376541466 | NPPES |
| Pennsylvania | MEDICAID | 0012023230003 |
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