Organization
ELK REGIONAL PROFESSIONAL GROUP, INC
Active
Other names
ERPG Platt Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
RITA V OLSZEWSKI (VICE PRESIDENT, ERPG)
(814) 788-8580
Entity
Organization
Contact information
Practice address
111 COBB ST, JOHNSONBURG, PA 15845-1209
(814) 965-2857
(814) 965-2523
Mailing address
111 COBB ST, JOHNSONBURG, PA 15845-1209
(814) 965-2857
(814) 965-2523
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018592850039
—
PA
05
—
0018592850042
—
PA
01
—
1738937
HIGHMARK ASSIGNMENT
PA
01
—
CH8032
RRM
PA
Enumeration date
10/03/2005
Last updated
07/24/2008
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