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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376541466 NPPES
Pennsylvania MEDICAID 0012023230003

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