Martin, Cynthia Shackleton

Martin, Cynthia Shackleton is an individual health care provider with primary practice located at 835 S Van Buren St , Green Bay WI 54301-3526. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Martin, Cynthia Shackleton can be contacted via phone (920) 433-8384.

Contact Information

Primary practice address
835 S Van Buren St Green Bay WI 54301-3526
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1359-023 Wisconsin

Profile Details

NPI number 1821198839
LBN Legal business name Martin, Cynthia Shackleton
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Feb 23rd, 2022 - about 2 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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