Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ELISA SHIPON-BLUM, D.O.
Active Sole ProprietorDR. ELISA SHIPON-BLUM, D.O. is a Family Medicine healthcare provider located in JENKNTOWN, Pennsylvania. NPI 1659618858 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · JENKNTOWN, PA
Registration Details
- NPI Number
- 1659618858
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 8, 2013 (13.61095647569 yrs)
- Last Updated
- Jan 8, 2013
- License
-
OS-007431-L (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
505 OLD YORK ROADLOWER LEVELJENKNTOWN, PA, 19046Browse PA providers · Browse ZIP 19046
- Phone
- 2158875748
- Fax
- 2158275722
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.