Ellis, Rachael Marie

Ellis, Rachael Marie is an individual health care provider with primary practice located at 555 Redbird Cir , De Pere WI 54115-7977. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Ellis, Rachael Marie can be contacted via phone (920) 338-6820.

Contact Information

Primary practice address
555 Redbird Cir De Pere WI 54115-7977
Phone: (920) 338-6820
Fax: (920) 338-6829
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 62686-20 Wisconsin
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1558604785
LBN Legal business name Ellis, Rachael Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2013
Last updated Oct 11th, 2016 - 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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