Elizabeth Ann Curtis, D.O.

Individual provider Active NPI Family Medicine Physician · Winamac, IN

NPI 1669475893 · NPPES record last updated Nov 30, 2007

Key facts

NPI
1669475893
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
02000870B (IN)
Practice address
2418 Curtis Dr
Ste B
Winamac, IN 46996-8818
Phone
(574) 946-7900
Fax
(574) 946-7936
NPI assigned
May 23, 2005
Reactivated
Mar 21, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02000870BINMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02000870B IN Yes

Addresses

Primary practice location

2418 Curtis Dr
Ste B
Winamac, IN 46996-8818

Mailing address

2418 Curtis Dr
Ste B
Winamac, IN 46996-8818
Phone (574) 946-7900

Other identifiers

IdentifierTypeStateIssuer
000000086971OtherINBLUE CROSS/BLUE SHIELD

Other providers in Winamac, IN

All providers in Winamac, IN · Family Medicine Physician in Indiana

Sources for this page

Verify at the official NPI Registry.