Lisman, Ellen Segal

Lisman, Ellen Segal is an individual health care provider with primary practice located at 2701 Holme Ave Suite 203, Philadelphia PA 19152-2029. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Lisman, Ellen Segal can be contacted via phone (215) 331-0515.

Contact Information

Primary practice address
2701 Holme Ave Suite 203 Philadelphia PA 19152-2029
Phone: (215) 331-0515
Fax: (215) 331-8144
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA003319L Pennsylvania
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MA003319L Pennsylvania

Profile Details

NPI number 1366482531
LBN Legal business name Lisman, Ellen Segal
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Nov 3rd, 2010 - about 15 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 1366482531 NPPES
Pennsylvania Other 1045793 PHYSICIAN ASST LICENSE #

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