Detschelt, Elizabeth L.

Detschelt, Elizabeth L. is an individual health care provider with primary practice located at 530 South St Suite 380, Greensburg PA 15601-2775. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Detschelt, Elizabeth L. can be contacted via phone (724) 261-5556.

Contact Information

Primary practice address
530 South St Suite 380 Greensburg PA 15601-2775
Phone: (724) 261-5556
Fax: (724) 837-8984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 259432 New York
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD430967 Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X 259432 New York

Profile Details

NPI number 1093965329
LBN Legal business name Detschelt, Elizabeth L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2008
Last updated Dec 26th, 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 1093965329 NPPES
Pennsylvania MEDICAID 1030107830001

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