Nelson, Shelly Brodjeski
Nelson, Shelly Brodjeski is an individual health care provider with primary practice located at 1555 S Layton Blvd , Milwaukee WI 53215. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Nelson, Shelly Brodjeski can be contacted via phone (414) 385-6600.Contact Information
Primary practice address
1555 S Layton Blvd
Milwaukee WI 53215
Phone: (414) 385-6600
Fax: (414) 385-6612
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 31522 | Wisconsin |
Profile Details
| NPI number | 1720174980 |
|---|---|
| LBN Legal business name | Nelson, Shelly Brodjeski |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | May 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720174980 | NPPES |
| Wisconsin | MEDICAID | 2005672 |
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