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Contact Information

ELIS M ANANIEVA, MD
120 BURRUS BLVD STE 200
BRODHEADSVILLE, PA18322-7812
 Phone: 570-420-6300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ELIS M ANANIEVA · (Female)

NPI Number 1962071241
Status Active
Credentials MD
Entity Individual
Enumeration date 06/22/2021
Last updated 09/25/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • PA License # MD485675
  • PA License # MT223583
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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