Engel, Shannon M
Engel, Shannon M is an individual health care provider with primary practice located at 3522 W Lisbon Ave , Milwaukee WI 53208-1953. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Engel, Shannon M can be contacted via phone (414) 935-8000.Contact Information
Primary practice address
3522 W Lisbon Ave
Milwaukee WI 53208-1953
Phone: (414) 935-8000
Fax: (414) 344-3350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 10985 | Wisconsin |
Profile Details
| NPI number | 1376014563 |
|---|---|
| LBN Legal business name | Engel, Shannon M |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2018 |
| Last updated | Apr 21st, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376014563 | NPPES |
| Wisconsin | Other | 10985 | STATE LICENSE |
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