Ponzo, Mary Elizabeth

Ponzo, Mary Elizabeth is an individual health care provider with primary practice located at 1155 N Mayfair Rd Spine Care Clinic At Plank Road, Milwaukee WI 53226-3421. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Ponzo, Mary Elizabeth can be contacted via phone (414) 955-7182.

Contact Information

Primary practice address
1155 N Mayfair Rd Spine Care Clinic At Plank Road Milwaukee WI 53226-3421
Phone: (414) 955-7182
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2096 Wisconsin

Profile Details

NPI number 1346294345
LBN Legal business name Ponzo, Mary Elizabeth
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Aug 22nd, 2014 - about 10 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 1346294345 NPPES
Wisconsin MEDICAID 1346294345
Wisconsin Other 008000215J

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