Individual
MR. JONATHAN ELLWANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
106 E DOUGLAS ST APT 17, COLERIDGE, NE 68727-2228
(402) 742-0311
Mailing address
106 E DOUGLAS ST APT 17, COLERIDGE, NE 68727-2228
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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