Antle, Shawn Douglas

Antle, Shawn Douglas is an individual health care provider with primary practice located at Beloit Memorial Hospital 1969 W. Hart Road, Beloit WI 53511-2230. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Antle, Shawn Douglas can be contacted via phone (608) 363-5971.

Contact Information

Primary practice address
Beloit Memorial Hospital 1969 W. Hart Road Beloit WI 53511-2230
Phone: (608) 363-5971
Fax: (608) 363-5737
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 46666020 Wisconsin
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 46666-20 Wisconsin

Profile Details

NPI number 1336163922
LBN Legal business name Antle, Shawn Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Feb 28th, 2018 - about 6 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 1336163922 NPPES
Wisconsin MEDICAID 1336163922
Wisconsin MEDICAID 34513100

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