Macnab, Shannon
Macnab, Shannon is an individual health care provider with primary practice located at 518 S Taylor Dr , Sheboygan WI 53081-4253. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Macnab, Shannon can be contacted via phone (920) 458-5757.Contact Information
Primary practice address
518 S Taylor Dr
Sheboygan WI 53081-4253
Phone: (920) 458-5757
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2664 | Wisconsin |
Profile Details
| NPI number | 1275585119 |
|---|---|
| LBN Legal business name | Macnab, Shannon |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1275585119 | NPPES |
| Wisconsin | MEDICAID | 38597600 |
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