Soich, Ellen Marie

Soich, Ellen Marie is an individual health care provider with primary practice located at 36500 Aurora Dr , Summit WI 53066-4899. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Soich, Ellen Marie can be contacted via phone (262) 434-1000.

Contact Information

Primary practice address
36500 Aurora Dr Summit WI 53066-4899
Phone: (262) 434-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5653 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5653-23 Wisconsin

Profile Details

NPI number 1871252361
LBN Legal business name Soich, Ellen Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2021
Last updated Feb 27th, 2024 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871252361 NPPES
Wisconsin MEDICAID 1871252361

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