Dzwonczyk, Elizabeth
Dzwonczyk, Elizabeth is an individual health care provider with primary practice located at 1475 W Grand Ave , Port Washington WI 53074-2074. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dzwonczyk, Elizabeth can be contacted via phone (262) 268-5100.Contact Information
Primary practice address
1475 W Grand Ave
Port Washington WI 53074-2074
Phone: (262) 268-5100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 68158-20 | Wisconsin |
Profile Details
| NPI number | 1427411875 |
|---|---|
| LBN Legal business name | Dzwonczyk, Elizabeth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2016 |
| Last updated | May 19th, 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 | 1427411875 | NPPES |
| Wisconsin | MEDICAID | 100072808 |
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