Provider Demographics
NPI:1366449431
Name:FRANCIS, ELIE L (MD)
Entity Type:Individual
Prefix:
First Name:ELIE
Middle Name:L
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:TARENTUM
Mailing Address - State:PA
Mailing Address - Zip Code:15084-1816
Mailing Address - Country:US
Mailing Address - Phone:724-226-2900
Mailing Address - Fax:724-226-3435
Practice Address - Street 1:317 1ST AVE
Practice Address - Street 2:
Practice Address - City:TARENTUM
Practice Address - State:PA
Practice Address - Zip Code:15084-1816
Practice Address - Country:US
Practice Address - Phone:724-226-2900
Practice Address - Fax:724-226-3435
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD422071207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1010168950003Medicaid
PA1010168950003Medicaid
PA077164R7RMedicare PIN