Shortridge, Beth A.
Shortridge, Beth A. is an individual health care provider with primary practice located at 1011 N Elmer Ave , Sayre PA 18840-1832. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Shortridge, Beth A. can be contacted via phone (570) 887-3070.Contact Information
Primary practice address
1011 N Elmer Ave
Sayre PA 18840-1832
Phone: (570) 887-3070
Fax: (570) 887-3382
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD038026E | Pennsylvania |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | MD038026E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD038026E | Pennsylvania |
Profile Details
| NPI number | 1194907550 |
|---|---|
| LBN Legal business name | Shortridge, Beth A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2007 |
| Last updated | Feb 8th, 2017 - about 9 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 | 1194907550 | NPPES |
| New Jersey | MEDICAID | 3607704 | |
| New Jersey | MEDICAID | 001243228 | |
| New Jersey | MEDICAID | 4138252 |
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