Nicholas, Shay
Nicholas, Shay is an sole proprietor health care provider with primary practice located at 744 S Webster Ave , Green Bay WI 54301-3505. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Nicholas, Shay can be contacted via phone (920) 433-3500.Contact Information
Primary practice address
744 S Webster Ave
Green Bay WI 54301-3505
Phone: (920) 433-3500
Fax: (920) 433-7932
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 47159-020 | Wisconsin |
Profile Details
| NPI number | 1700869526 |
|---|---|
| LBN Legal business name | Nicholas, Shay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 25th, 2005 |
| Last updated | Apr 24th, 2014 - about 10 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 | 1700869526 | NPPES |
| Wisconsin | MEDICAID | 34554700 |
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