Connor, Shane
Connor, Shane is an individual health care provider with primary practice located at 1111 Delafield St Suite 222, Waukesha WI 53188-3417. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Connor, Shane can be contacted via phone (262) 547-8665.Contact Information
Primary practice address
1111 Delafield St Suite 222
Waukesha WI 53188-3417
Phone: (262) 547-8665
Fax: (262) 547-8685
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 6802 | Wisconsin |
Profile Details
| NPI number | 1285877654 |
|---|---|
| LBN Legal business name | Connor, Shane |
| Credentials | DDS, MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2009 |
| Last updated | Jul 10th, 2015 - about 9 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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