Ellingson, Natalie J
Ellingson, Natalie J is an individual health care provider with primary practice located at 146 E Geneva Sq , Lake Geneva WI 53147-9694. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ellingson, Natalie J can be contacted via phone (262) 843-4422.Contact Information
Primary practice address
146 E Geneva Sq
Lake Geneva WI 53147-9694
Phone: (262) 843-4422
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2048 | Wisconsin |
Profile Details
| NPI number | 1548473127 |
|---|---|
| LBN Legal business name | Ellingson, Natalie J |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2007 |
| Last updated | Dec 3rd, 2021 - about 3 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 | 1548473127 | NPPES |
| Wisconsin | MEDICAID | 41954600 |
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