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Contact Information

ELIZABETH J MIERENDORF, C.A., MAOM, ATC
890 W WINGRA DR
MADISON, WI53715-1942
 Phone: 608-516-8949
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for ELIZABETH J MIERENDORF · (Female)

NPI # 1710246020
Status Active
Credentials C.A., MAOM, ATC
Entity Individual
Enumeration date 05/07/2012
Last updated 05/07/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 733-055
Hospital affiliation(s) Not Available
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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