Piebenga, Elise C

Piebenga, Elise C is an individual health care provider with primary practice located at 130 S. Bryn Mawr Ave. , Bryn Mawr PA 19010-3121. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Piebenga, Elise C can be contacted via phone (610) 526-3000.

Contact Information

Primary practice address
130 S. Bryn Mawr Ave. Bryn Mawr PA 19010-3121
Phone: (610) 526-3000
Fax: (302) 651-5948
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 11970 Rhode Island
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD421773 Pennsylvania

Profile Details

NPI number 1891740783
LBN Legal business name Piebenga, Elise C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Oct 25th, 2011 - about 15 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 1891740783 NPPES
Rhode Island MEDICAID EP59268

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