Individual
MR. JOHN L ELMENDORF III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1125 N 13TH ST, SHEBOYGAN, WI 53081-3281
(920) 803-1617
(920) 803-1622
Mailing address
1125 N 13TH ST, SHEBOYGAN, WI 53081-3281
(920) 803-1617
(920) 803-1622
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2810-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40794400
—
WI
05
—
41813000
—
WI
Enumeration date
11/19/2007
Last updated
10/10/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us