Hanrahan, Shawn M
Hanrahan, Shawn M is an individual health care provider with primary practice located at 1300 Egg Harbor Rd Ste 108 , Sturgeon Bay WI 54235-1284. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant is her primary health care specialty. Hanrahan, Shawn M can be contacted via phone (920) 746-0410.Contact Information
Primary practice address
1300 Egg Harbor Rd Ste 108
Sturgeon Bay WI 54235-1284
Phone: (920) 746-0410
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 535-046 | Wisconsin |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 372-19 | Wisconsin |
Profile Details
| NPI number | 1457469033 |
|---|---|
| LBN Legal business name | Hanrahan, Shawn M |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Feb 11th, 2010 - about 16 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 | 1457469033 | NPPES |
| Wisconsin | MEDICAID | 40200800 |
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