| Elizabeth Anne Doriott Sole Mbr | |
|
11465 Springfield Pike Cincinnati OH 45246-3525 | |
| (513) 671-2555 | |
| (513) 671-0135 |
| Full Name | Elizabeth Anne Doriott Sole Mbr |
|---|---|
| Speciality | Family Medicine |
| Location | 11465 Springfield Pike, Cincinnati, Ohio |
| Authorized Official Name and Position | Elizabeth Anne Doriott (OWNER) |
| Authorized Official Contact | 5136712555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Anne Doriott Sole Mbr 11465 Springfield Pike Cincinnati OH 45246-3525 Ph: (513) 671-2555 | Elizabeth Anne Doriott Sole Mbr 11465 Springfield Pike Cincinnati OH 45246-3525 Ph: (513) 671-2555 |
| NPI Number | 1447533807 |
|---|---|
| Provider Enumeration Date | 09/22/2011 |
| Last Update Date | 08/30/2022 |
| Medicare PECOS PAC ID | 1850566910 |
|---|---|
| Medicare Enrollment ID | O20111219000752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447533807 | NPI | - | NPPES |
| 0060054 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34006593 (Ohio) | Primary |
| Provider Name | Elizabeth Anne Doriott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538344072 PECOS PAC ID: 7810951100 Enrollment ID: I20041116001026 |
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