Dorn, Elizabeth A

Dorn, Elizabeth A is an individual health care provider with primary practice located at 743 Jefferson Ave Suite 104, Scranton PA 18510. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Dorn, Elizabeth A can be contacted via phone (570) 346-4621.

Contact Information

Primary practice address
743 Jefferson Ave Suite 104 Scranton PA 18510
Phone: (570) 346-4621
Fax: (570) 346-5109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN314718L Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP005776B Pennsylvania

Profile Details

NPI number 1992751671
LBN Legal business name Dorn, Elizabeth A
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Jul 8th, 2007 - about 18 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 1992751671 NPPES
Pennsylvania MEDICAID 0018654700006

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