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
Phone: (715) 393-3000
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407898521 | NPPES |
Wisconsin | MEDICAID | 34619600 |
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