Individual
DUSTIN ELLWANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1106 LOGAN ST, NORFOLK, NE 68701-6029
(402) 640-4539
Mailing address
1106 LOGAN ST, NORFOLK, NE 68701-6029
(402) 640-4539
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
02/18/2025
Last updated
02/25/2025
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