Ellenz, Daniel G
Ellenz, Daniel G is an individual health care provider with primary practice located at 1836 South Ave , La Crosse WI 54601-5429. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Ellenz, Daniel G can be contacted via phone (608) 782-7300.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 3285 | Wisconsin |
| Dental Providers / Endodontics | 1223E0200X | S65 | Minnesota |
Profile Details
| NPI number | 1356346407 |
|---|---|
| LBN Legal business name | Ellenz, Daniel G |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Jul 25th, 2013 - about 12 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 | 1356346407 | NPPES |
| Wisconsin | MEDICAID | 33479800 |
Popular Providers
-
Nydahl, John David
1011 2Nd St N Ste 101, Saint Cloud MN 56303-3237 -
Russin, James Timothy
123 N Oakwood Ave , Brandon FL 33510-4629 -
Kucharski, Joshua Michal
1836 South Ave , La Crosse WI 54601 -
Glickman, Joel Micheal
1251 S Cedar Crest Blvd Ste 111C, Allentown PA 18103-6205 -
Cohen, Stephen
360 Post St , San Francisco CA 94108-4912 -
Bryant, Kevin P
1001 Carter St Ste H, Chattanooga TN 37402-5014 -
Perinpanayagam, Hiran
219 Bryant St , Buffalo NY 14222-2006 -
Lipsey, Marty Richard
3025 Mchenry Ave Ste N, Modesto CA 95350-1449