Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | MT211168 | PA |
NPI | 1144578485 |
---|---|
Provider Name | Chelsey Bayer Ortman |
First Address | Pittsburgh, PA 15224 |
Second Address | Pittsburgh, PA 15224 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2012 |
Last Update Date | 03/06/2020 |