Ellerman, Lori Ann

Ellerman, Lori Ann is an individual health care provider with primary practice located at 5200 Hummingbird Rd Ste 100, Wausau WI 54401-6312. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as her primary health care specialty. Ellerman, Lori Ann can be contacted via phone (715) 359-6442.

Contact Information

Primary practice address
5200 Hummingbird Rd Ste 100 Wausau WI 54401-6312
Fax: (715) 393-0390
Website:

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X 130260 Wisconsin

Profile Details

NPI number 1053687772
LBN Legal business name Ellerman, Lori Ann
Credentials Certified Surgical Technologist (CST)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2012
Last updated Mar 27th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053687772 NPPES
Wisconsin Other 130260 CERTIFIED SURGICAL TECHNICIAN

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