Provider Demographics
NPI:1588652986
Name:WOODS, ELIZABETH J (PAC)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:J
Last Name:WOODS
Suffix:
Gender:F
Credentials:PAC
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Mailing Address - Street 1:1086 FRANKLIN STREET
Mailing Address - Street 2:
Mailing Address - City:EBENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15931-4107
Mailing Address - Country:US
Mailing Address - Phone:814-410-8300
Mailing Address - Fax:814-410-8331
Practice Address - Street 1:188 INDUSTRIAL PARK RD
Practice Address - Street 2:STE B
Practice Address - City:EBENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15931-4107
Practice Address - Country:US
Practice Address - Phone:814-471-9005
Practice Address - Fax:814-471-9007
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2014-06-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMA002060L363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA331846Medicare PIN