Odonnell, Elaine A

Odonnell, Elaine A is an individual health care provider with primary practice located at 414 E Drinker St Suite 101, Dunmore PA 18512-2469. She recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is her primary health care specialty. Odonnell, Elaine A can be contacted via phone (570) 348-1757.

Contact Information

Primary practice address
414 E Drinker St Suite 101 Dunmore PA 18512-2469
Phone: (570) 348-1757
Fax: (570) 348-6721
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X SC002764 Pennsylvania
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC002764 Pennsylvania
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X SC002764 Pennsylvania

Profile Details

NPI number 1780640268
LBN Legal business name Odonnell, Elaine A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Mar 11th, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780640268 NPPES
Pennsylvania MEDICAID 001176279
Pennsylvania Other 480033356

Popular Providers