Biederwolf, Nicklaus Ellif

Biederwolf, Nicklaus Ellif is an individual health care provider with primary practice located at 11209 N Tatum Blvd B-120, Phoenix AZ 85028-3091. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Biederwolf, Nicklaus Ellif can be contacted via phone (602) 795-8441.

Contact Information

Primary practice address
11209 N Tatum Blvd B-120 Phoenix AZ 85028-3091
Phone: (602) 795-8441
Fax: (602) 795-8447
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 6704 Arizona

Profile Details

NPI number 1497820476
LBN Legal business name Biederwolf, Nicklaus Ellif
Credentials PT, DPT, CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2006
Last updated Nov 4th, 2015 - about 10 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 1497820476 NPPES
Arizona MEDICAID 908347

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