Conroy, Ellen Davis
Conroy, Ellen Davis is an individual health care provider with primary practice located at 3900 Woodland Ave Pvamc Department Of Behavioral Health, Philadelphia PA 19104-4551. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Conroy, Ellen Davis can be contacted via phone (215) 823-5800.Contact Information
Primary practice address
3900 Woodland Ave Pvamc Department Of Behavioral Health
Philadelphia PA 19104-4551
Phone: (215) 823-5800
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS005839L | Pennsylvania |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | OS005839L | Pennsylvania |
Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | OS005839L | Pennsylvania |
Profile Details
NPI number | 1477585834 |
---|---|
LBN Legal business name | Conroy, Ellen Davis |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 7th, 2006 |
Last updated | Nov 15th, 2013 - about 11 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 | 1477585834 | NPPES |
Pennsylvania | MEDICAID | 0010727570001 |
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