Search › Wisconsin › 363LF0000X
Ebonie Zollicoffer
NPI 1376938209 · on the registry since 2015 · sole proprietor
Practice
- Address
- N62w23334 Silver Spring Dr
Sussex, WI 53089 - Phone
- (262) 225-1163
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-09-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin