Belverud, Shawn Allen

Belverud, Shawn Allen is an individual health care provider with primary practice located at 835 S Van Buren St , Green Bay WI 54301-3526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Belverud, Shawn Allen can be contacted via phone (920) 433-0111.

Contact Information

Primary practice address
835 S Van Buren St Green Bay WI 54301-3526
Phone: (920) 433-0111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 66526 Wisconsin

Profile Details

NPI number 1073817268
LBN Legal business name Belverud, Shawn Allen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2011
Last updated Sep 2nd, 2021 - about 4 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 1073817268 NPPES
Wisconsin MEDICAID 1073817268

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