Provider Demographics
NPI:1750527529
Name:OSHNOCK, ELIZABETH M (DO)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:M
Last Name:OSHNOCK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:M
Other - Last Name:JENCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1263 STATE ROUTE 40 WEST
Mailing Address - Street 2:PO BOX N
Mailing Address - City:CLAYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15323-1277
Mailing Address - Country:US
Mailing Address - Phone:724-663-7731
Mailing Address - Fax:724-663-9022
Practice Address - Street 1:1263 STATE ROUTE 40 W
Practice Address - Street 2:
Practice Address - City:CLAYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15323-1277
Practice Address - Country:US
Practice Address - Phone:724-663-7731
Practice Address - Fax:724-663-9022
Is Sole Proprietor?:No
Enumeration Date:2008-12-30
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS014857207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1024962200002Medicaid
PA194281R7FMedicare PIN