Provider Demographics
NPI:1831386135
Name:IKON, ELIZABETH (RDMS)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:
Last Name:IKON
Suffix:
Gender:F
Credentials:RDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1683 SILVER BIRCH RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-7754
Mailing Address - Country:US
Mailing Address - Phone:215-938-8909
Mailing Address - Fax:425-952-0505
Practice Address - Street 1:1683 SILVER BIRCH RD
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLY
Practice Address - State:PA
Practice Address - Zip Code:19006-7754
Practice Address - Country:US
Practice Address - Phone:215-938-8909
Practice Address - Fax:425-952-0505
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-01
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1133842471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography