Anjum, Shamshad A.

Anjum, Shamshad A. is an individual health care provider with primary practice located at 1735 Madison Road Westside Clinic, Beloit WI 53511-3216. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Anjum, Shamshad A. can be contacted via phone (608) 363-7510.

Contact Information

Primary practice address
1735 Madison Road Westside Clinic Beloit WI 53511-3216
Phone: (608) 363-7510
Fax: (608) 363-7528
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036085335 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35977-020 Wisconsin

Profile Details

NPI number 1487753596
LBN Legal business name Anjum, Shamshad A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated May 25th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487753596 NPPES
Wisconsin MEDICAID 1487753596

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