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Contact Information

BETH A ELISZEWSKI
1922 CTH-NN
ELKHORN, WI53121
 Phone: 262-741-3600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for BETH A ELISZEWSKI · (Female)

NPI # 1710190327
Status Active
Credentials
Entity Individual
Enumeration date 05/08/2007
Last updated 02/12/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 965
  • WI Medicaid 40735900
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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