Ziss, Bethany Ellen
Ziss, Bethany Ellen is an individual health care provider with primary practice located at 4815 Liberty Ave Ste 154 , Pittsburgh PA 15224-2156. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is her primary health care specialty. Ziss, Bethany Ellen can be contacted via phone (412) 578-4003.Contact Information
Primary practice address
4815 Liberty Ave Ste 154
Pittsburgh PA 15224-2156
Phone: (412) 578-4003
Fax: (412) 578-4011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD454191 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | 33473 | South Carolina |
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | MD454191 | Pennsylvania |
Profile Details
| NPI number | 1184829533 |
|---|---|
| LBN Legal business name | Ziss, Bethany Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2007 |
| Last updated | Oct 9th, 2019 - about 7 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 | 1184829533 | NPPES |
| Pennsylvania | MEDICAID | 1030053080001 | |
| Pennsylvania | MEDICAID | PENDING |
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