Mitchell, Ellen Lide
Mitchell, Ellen Lide is an individual health care provider with primary practice located at 160 E Erie Ave , Philadelphia PA 19134. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is her primary health care specialty. Mitchell, Ellen Lide can be contacted via phone (215) 427-6778.Contact Information
Primary practice address
160 E Erie Ave
Philadelphia PA 19134
Phone: (215) 427-6778
Fax: (215) 427-6782
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD455417 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | MD455417 | Pennsylvania |
Profile Details
| NPI number | 1952669186 |
|---|---|
| LBN Legal business name | Mitchell, Ellen Lide |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2012 |
| Last updated | May 22nd, 2024 - about last year |
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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