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Contact Information

ELENA I SIDORENKO, MD
700 WEST AVE S
LA CROSSE, WI54601-4783
 Phone: 608-785-0940
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for ELENA I SIDORENKO · (Female)

NPI Number 1831281674
Status Active
Credentials MD
Entity Individual
Enumeration date 09/29/2006
Last updated 12/23/2021 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # 43384
  • WI License # 20965
  • CO Medicaid 48105031
  • KS Other 04-29606 MEDICAL LICENSE
Hospital affiliation(s)
  • MEMORIAL HOSPITAL CENTRAL - (Acute Care)
    1400 E BOULDER ST
    COLORADO SPRINGS, CO 80909
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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