Dinsmore, Elissa Beth

Dinsmore, Elissa Beth is an individual health care provider with primary practice located at 1045 Channingway Dr Ste A , Fairborn OH 45324-9252. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Dinsmore, Elissa Beth can be contacted via phone (937) 878-8644.

Contact Information

Primary practice address
1045 Channingway Dr Ste A Fairborn OH 45324-9252
Phone: (937) 878-8644
Fax: (937) 878-8646
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024166938 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA.11091-NP Ohio

Profile Details

NPI number 1790882025
LBN Legal business name Dinsmore, Elissa Beth
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Apr 21st, 2023 - about 3 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 1790882025 NPPES
Virginia MEDICAID 010335779

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