Healthcare Provider Details

I. General information

NPI: 1851373286
Provider Name (Legal Business Name): ELISABETH LYNN RIGHTER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2005
Last Update Date: 09/21/2021
Certification Date: 09/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2261 PHILADELPHIA DR
DAYTON OH
45406-1814
US

IV. Provider business mailing address

725 UNIVERSITY BLVD
BEAVERCREEK OH
45324-2640
US

V. Phone/Fax

Practice location:
  • Phone: 937-245-7100
  • Fax: 937-245-7999
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35.061983
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: