Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PE0004X | Emergency Medical Services | MD072729L | PA |
Y | 207Q00000X | Family Doctor | MD072729L | PA |
NPI | 1124068580 |
---|---|
Provider Name | Dr. Liana Bittner |
First Address | Connellsville, PA 15425-9328 |
Second Address | Connellsville, PA 15425 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 10/08/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H54451 | (02) |