Etzel, Kathleen D
Etzel, Kathleen D is an individual health care provider with primary practice located at 406 W Oak Street , Titusville PA 16354. She recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Etzel, Kathleen D can be contacted via phone (814) 827-1851.Contact Information
Primary practice address
406 W Oak Street
Titusville PA 16354
Phone: (814) 827-1851
Fax: (724) 226-4575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD049657L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | MD049657L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | MD049657L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | MD049657L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MD049657L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | MD049657L | Pennsylvania |
Profile Details
| NPI number | 1770531295 |
|---|---|
| LBN Legal business name | Etzel, Kathleen D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Oct 25th, 2007 - about 17 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 | 1770531295 | NPPES |
| Other | P00143495 | RR MEDICARE | |
| Other | 0018069510004 | RR MEDICARE | |
| MEDICAID | 0018069510004 | RR MEDICARE | |
| Other | 141309 | RR MEDICARE |
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