Mains, Shawn Lee

Mains, Shawn Lee is an individual health care provider with primary practice located at 909 S Washburn St , Oshkosh WI 54904-8051. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mains, Shawn Lee can be contacted via phone (920) 235-8966.

Contact Information

Primary practice address
909 S Washburn St Oshkosh WI 54904-8051
Phone: (920) 235-8966
Fax: (920) 235-1526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4369-024 Wisconsin

Profile Details

NPI number 1063487098
LBN Legal business name Mains, Shawn Lee
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063487098 NPPES
Wisconsin MEDICAID 40221500

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