Natalie J Ellingson in Lake Geneva - Physician Assistant
Natalie J Ellingson - NPI 1548473127
Natalie J Ellingson is a Physician Assistant in Lake Geneva, Wisconsin. Natalie J Ellingson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Natalie J Ellingson is 1548473127. The last update date is 2021-12-03.
Natalie J Ellingson's current location address is 146 E Geneva Sq, Lake Geneva, Wisconsin. You can contact this provider via phone number 2628434422. The mailing address for Natalie J Ellingson is 146 E Geneva Sq, Lake Geneva, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Natalie J Ellingson |
|---|---|
| Address | 146 E Geneva Sq, Lake Geneva, Wisconsin |
| Phone Number | 2628434422 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1548473127 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2021-12-03 |
Provider Mailing Address Detail
| Address | 146 E Geneva Sq |
|---|---|
| City | Lake Geneva |
| State | Wisconsin (WI) |
| Post Code | 531479694 |
| Phone Number | 2628434422 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2048 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41954600 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Natalie J Ellingson by the Centers for Medicare & Medicaid Services (CMS)?
The Natalie J Ellingson has been assigned the NPI (National Provider Identifier) 1548473127. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Natalie J Ellingson is geographically located?
The Natalie J Ellingson is physically situated at the following location: 146 E Geneva Sq, Lake Geneva, WI, 531479694.
What is the Natalie J Ellingson's specialty and taxonomy code?
The Natalie J Ellingson's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1548473127 to Natalie J Ellingson?
The Natalie J Ellingson received its 1548473127 assignment from the Centers for Medicare & Medicaid Services on 2007-05-08.
When was the information regarding Natalie J Ellingson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Natalie J Ellingson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-12-03.
NPI Number: 1720081763
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