Deibert, Ellen M

Deibert, Ellen M is an individual health care provider with primary practice located at 1695 Roosevelt Ave Ste B , York PA 17408-8521. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Deibert, Ellen M can be contacted via phone (717) 851-5503.

Contact Information

Primary practice address
1695 Roosevelt Ave Ste B York PA 17408-8521
Phone: (717) 851-5503
Fax: (717) 798-3510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD449870 Pennsylvania

Profile Details

NPI number 1669439428
LBN Legal business name Deibert, Ellen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Apr 16th, 2019 - about 5 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 1669439428 NPPES
Pennsylvania MEDICAID 102862232
Pennsylvania MEDICAID 2019663
Pennsylvania Other 2984321

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