Provider Demographics
NPI:1528496973
Name:DR. ELIZABETH ROSERIE D.C., P.C.
Entity type:Organization
Organization Name:DR. ELIZABETH ROSERIE D.C., P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSERIE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:717-315-6117
Mailing Address - Street 1:229 S CENTER ST
Mailing Address - Street 2:
Mailing Address - City:CLEONA
Mailing Address - State:PA
Mailing Address - Zip Code:17042-3218
Mailing Address - Country:US
Mailing Address - Phone:717-315-6117
Mailing Address - Fax:717-298-8000
Practice Address - Street 1:5301 JONESTOWN RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-2967
Practice Address - Country:US
Practice Address - Phone:717-298-8000
Practice Address - Fax:717-227-0008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-22
Last Update Date:2014-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010219261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care