Petcov, Elizabeth A

Petcov, Elizabeth A is an individual health care provider with primary practice located at 252 S 4Th St , Lebanon PA 17042-6111. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Petcov, Elizabeth A can be contacted via phone (717) 270-4876.

Contact Information

Primary practice address
252 S 4Th St Lebanon PA 17042-6111
Phone: (717) 270-4876
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X SP017652 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X MC4527581 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP017652 Pennsylvania

Profile Details

NPI number 1720504152
LBN Legal business name Petcov, Elizabeth A
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2017
Last updated Mar 1st, 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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