Demeyer, Ellen Anne
Demeyer, Ellen Anne is an individual health care provider with primary practice located at 305 S. Clark St. , Mayville WI 53050. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Demeyer, Ellen Anne can be contacted via phone (920) 387-1370.Contact Information
Primary practice address
305 S. Clark St.
Mayville WI 53050
Phone: (920) 387-1370
Fax: (920) 387-2429
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 2011-26 | Wisconsin |
Profile Details
| NPI number | 1427262989 |
|---|---|
| LBN Legal business name | Demeyer, Ellen Anne |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1427262989 | NPPES |
| Wisconsin | MEDICAID | 41039400 |
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