National Provider Identifier Database

DANIEL TELLIJOHN, CP – NPI #1407716533
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

DANIEL TELLIJOHN, CP
1700 STEWART AVE STE 300
WAUSAU, WI54401-5345
Phone: 715-679-3776
Fax: 715-841-0087
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X

* Indicates primary specialty

NPI Profile & details for DANIEL TELLIJOHN

NPI Number 1407716533
Credentials CP
Entity Individual
Enumeration date 11/12/2025
Last updated 11/12/2025 - About 7 months ago
Sole proprietor1 No
Identifiers
  • WI License #: CP003277
Hospital affiliation n/a

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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