DR. MARY PATRICIA ELDRIDGE M.D. NPI 1063673903

NPI Information

NPI: 1063673903
Provider Name: DR. MARY PATRICIA ELDRIDGE, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
1400 75TH ST
SUITE #5
KENOSHA, WI
ZIP 53143
Phone: (262) 656-1911
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DR. Mary Patricia Eldridge, M.D. is a general practice in Kenosha, WI. DR. Mary Patricia Eldridge, M.D. NPI is 1063673903. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1400 75TH ST
SUITE #5
KENOSHA, WI
ZIP 53143-544
Phone: (262) 656-1911
Fax: (888) 316-8458

The enumeration date for this NPI number is 6/23/2008 and was last updated on 9/19/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		54685-20	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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