Westdorp, Ellen J

Westdorp, Ellen J is an individual health care provider with primary practice located at 3400 Ministry Pkwy , Weston WI 54476-5220. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Westdorp, Ellen J can be contacted via phone (715) 393-3000.

Contact Information

Primary practice address
3400 Ministry Pkwy Weston WI 54476-5220
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 47756 Wisconsin

Profile Details

NPI number 1407898521
LBN Legal business name Westdorp, Ellen J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Mar 7th, 2023 - about last year

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 1407898521 NPPES
Wisconsin MEDICAID 34619600

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