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NPI Code Detail

MEDICARE: DR. ELIZABETH ACUS STARNS D.ED., ATC, CSCS

MEDICARE: DR. ELIZABETH ACUS STARNS D.ED., ATC, CSCS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic TrainerAT.003592OH
22255A2300XAthletic TrainerRT005690PA

General Provider Information

NPI Number : 1891170551
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH ACUS STARNS D.ED., ATC, CSCS
Provider Business Mailing Address
First Line : 109 UNIVERSITY SQ
Second Line :
City : ERIE
State : PA
Zip : 16541-0002
Country : US
Telephone Number : 814-871-7362
Fax Number :
Provider Business Practice Location Address
First Line : 109 UNIVERSITY SQ
Second Line :
City : ERIE
State : PA
Zip : 16541-0002
Country : US
Telephone Number : 814-871-7362
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2015
Last Update Date : 08/28/2020

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