Ewan, Elissa Susan
Ewan, Elissa Susan is an individual health care provider with primary practice located at 3901 Stewart Ave , Wausau WI 54401-3948. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Ewan, Elissa Susan can be contacted via phone (715) 841-0002.Contact Information
Primary practice address
3901 Stewart Ave
Wausau WI 54401-3948
Phone: (715) 841-0002
Fax: (715) 841-0003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 12167-24 | Wisconsin |
Profile Details
| NPI number | 1316286511 |
|---|---|
| LBN Legal business name | Ewan, Elissa Susan |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2013 |
| Last updated | May 22nd, 2026 - about 5 months 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 | 1316286511 | NPPES |
| Wisconsin | MEDICAID | 100028871 |
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