Zussman, Ellis B
Zussman, Ellis B is an individual health care provider with primary practice located at 7220 W Capitol Dr , Milwaukee WI 53216-2054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Zussman, Ellis B can be contacted via phone (414) 464-4888.Contact Information
Primary practice address
7220 W Capitol Dr
Milwaukee WI 53216-2054
Phone: (414) 464-4888
Fax: (414) 464-1850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 16653 | Wisconsin |
Profile Details
| NPI number | 1649231028 |
|---|---|
| LBN Legal business name | Zussman, Ellis B |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649231028 | NPPES |
| Wisconsin | MEDICAID | 30030500 |
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