Ellsworth, Miles

Ellsworth, Miles is an individual health care provider with primary practice located at 1000 N Oak Ave , Marshfield WI 54449-5703. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Nursing Service Providers / Critical Care Medicine. Nursing Service Providers / Critical Care Medicine is his primary health care specialty. Ellsworth, Miles can be contacted via phone (715) 387-5511.

Contact Information

Primary practice address
1000 N Oak Ave Marshfield WI 54449-5703
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X RN9418207 Florida
Nursing Service Providers / Critical Care Medicine 163WC0200X 4704295031 Michigan

Profile Details

NPI number 1841703402
LBN Legal business name Ellsworth, Miles
Credentials SRNA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2017
Last updated Nov 6th, 2017 - about 7 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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