Beres, Elise Marie

Beres, Elise Marie is an individual health care provider with primary practice located at 2901 W Kinnickinnic River Pkwy Suite 414, Milwaukee WI 53215-3677. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Beres, Elise Marie can be contacted via phone (262) 827-3630.

Contact Information

Primary practice address
2901 W Kinnickinnic River Pkwy Suite 414 Milwaukee WI 53215-3677
Phone: (262) 827-3630
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3405-23 Wisconsin

Profile Details

NPI number 1447652938
LBN Legal business name Beres, Elise Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2014
Last updated Nov 30th, 2023 - about 3 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 1447652938 NPPES
Wisconsin MEDICAID 100041174

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