Peot, Shane Michael
Peot, Shane Michael is an sole proprietor health care provider with primary practice located at 1030 Countryside Dr , De Pere WI 54115-1835. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Peot, Shane Michael can be contacted via phone (920) 609-9883.Contact Information
Primary practice address
1030 Countryside Dr
De Pere WI 54115-1835
Phone: (920) 609-9883
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 168533-030 | Wisconsin |
Profile Details
| NPI number | 1740523828 |
|---|---|
| LBN Legal business name | Peot, Shane Michael |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2013 |
| Last updated | Mar 27th, 2013 - about 11 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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