Idowu-Ellsworth, Damilola

Idowu-Ellsworth, Damilola is an individual health care provider with primary practice located at 9200 W Wisconsin Ave , Milwaukee WI 53226-3522. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Medical Toxicology. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Idowu-Ellsworth, Damilola can be contacted via phone (412) 495-5645.

Contact Information

Primary practice address
9200 W Wisconsin Ave Milwaukee WI 53226-3522
Phone: (412) 495-5645
Fax: (414) 955-0082
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 76660-20 Wisconsin
Allopathic & Osteopathic Physicians / Medical Toxicology 207PT0002X 76660-20 Wisconsin

Profile Details

NPI number 1679060933
LBN Legal business name Idowu-Ellsworth, Damilola
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2018
Last updated Apr 15th, 2024 - about 8 months 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1679060933 NPPES
Wisconsin MEDICAID 1679060933

Popular Providers