Brice, Shannon M

Brice, Shannon M is an individual health care provider with primary practice located at 100 Polk County Plz Suite 50, Balsam Lake WI 54810-9071. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Brice, Shannon M can be contacted via phone (715) 485-8430.

Contact Information

Primary practice address
100 Polk County Plz Suite 50 Balsam Lake WI 54810-9071
Phone: (715) 485-8430
Fax: (715) 485-8490
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 922-122 Wisconsin

Profile Details

NPI number 1871716787
LBN Legal business name Brice, Shannon M
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated May 6th, 2009 - about 15 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 1871716787 NPPES
Wisconsin Other 372794 MHN HMC INSURANCE
Wisconsin MEDICAID 40938900 MHN HMC INSURANCE

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