Mudler, Shannon Michaela

Mudler, Shannon Michaela is an individual health care provider with primary practice located at 413 N 17Th Ave , Wausau WI 54401-4226. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Mudler, Shannon Michaela can be contacted via phone (715) 842-4649.

Contact Information

Primary practice address
413 N 17Th Ave Wausau WI 54401-4226
Phone: (715) 842-4649
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 6853016 Wisconsin

Profile Details

NPI number 1255579512
LBN Legal business name Mudler, Shannon Michaela
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2009
Last updated Jan 25th, 2009 - about 15 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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