Ellison, Warren R
Ellison, Warren R is an individual health care provider with primary practice located at 3200 E Racine St , Janesville WI 53546-2343. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Ellison, Warren R can be contacted via phone (608) 371-8000.Contact Information
Primary practice address
3200 E Racine St
Janesville WI 53546-2343
Phone: (608) 371-8000
Fax: (608) 371-8924
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 26121-020 | Wisconsin |
Profile Details
| NPI number | 1194765560 |
|---|---|
| LBN Legal business name | Ellison, Warren R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Jan 3rd, 2014 - 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 | 1194765560 | NPPES |
| Wisconsin | Other | 1023 | DEAN HEALTH INSURANCE |
| Wisconsin | MEDICAID | 30578500 | DEAN HEALTH INSURANCE |
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