Ellefson Peil, Judy F
Ellefson Peil, Judy F is an individual health care provider with primary practice located at 842 N Westhill Blvd , Appleton WI 54914-5788. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Ellefson Peil, Judy F can be contacted via phone (920) 574-3622.Contact Information
Primary practice address
842 N Westhill Blvd
Appleton WI 54914-5788
Phone: (920) 574-3622
Fax: (920) 574-3661
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2122-012 | Wisconsin |
Profile Details
| NPI number | 1770578106 |
|---|---|
| LBN Legal business name | Ellefson Peil, Judy F |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Mar 3rd, 2016 - about 8 years ago |
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 | 1770578106 | NPPES |
| Wisconsin | MEDICAID | 38795500 |
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