Elmore, Elizabeth Alice

Elmore, Elizabeth Alice is an individual health care provider with primary practice located at 10200 Francis Creek Rd , Two Rivers WI 54241-9128. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Elmore, Elizabeth Alice can be contacted via phone (920) 686-0752.

Contact Information

Primary practice address
10200 Francis Creek Rd Two Rivers WI 54241-9128
Phone: (920) 686-0752
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X Wisconsin

Profile Details

NPI number 1174592505
LBN Legal business name Elmore, Elizabeth Alice
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jul 9th, 2007 - about 17 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 1174592505 NPPES
Wisconsin MEDICAID 38246100

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