Fischer, Shawn Allen

Fischer, Shawn Allen is an sole proprietor health care provider with primary practice located at 1531 S Madison St Ste 580 , Appleton WI 54915-1800. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Fischer, Shawn Allen can be contacted via phone (920) 738-2000.

Contact Information

Primary practice address
1531 S Madison St Ste 580 Appleton WI 54915-1800
Phone: (920) 738-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9081 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 9018-33 Wisconsin

Profile Details

NPI number 1316401706
LBN Legal business name Fischer, Shawn Allen
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2019
Last updated Mar 31st, 2022 - about 3 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 1316401706 NPPES
Wisconsin MEDICAID 100088432
Wisconsin MEDICAID 100088873

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