Cody, Ellen Marie
Cody, Ellen Marie is an individual health care provider with primary practice located at 9000 W Wisconsin Ave , Milwaukee WI 53226-4874. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as her primary health care specialty. Cody, Ellen Marie can be contacted via phone (414) 337-7140.Contact Information
Primary practice address
9000 W Wisconsin Ave
Milwaukee WI 53226-4874
Phone: (414) 337-7140
Fax: (414) 337-7145
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | 2022017753 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | 82255 | Wisconsin |
Profile Details
| NPI number | 1336502319 |
|---|---|
| LBN Legal business name | Cody, Ellen Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2016 |
| Last updated | Aug 2nd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336502319 | NPPES |
| Wisconsin | MEDICAID | 1336502319 |
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