Myers, Elisabeth E

Myers, Elisabeth E is an individual health care provider with primary practice located at 1810 N 2Nd St , Wausau WI 54403. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Myers, Elisabeth E can be contacted via phone (715) 848-4884.

Contact Information

Primary practice address
1810 N 2Nd St Wausau WI 54403
Fax: (715) 845-5385
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4317 Wisconsin

Profile Details

NPI number 1891710299
LBN Legal business name Myers, Elisabeth E
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jul 8th, 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 1891710299 NPPES
Wisconsin MEDICAID 33735700

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