Scahill, Michael Guard
Scahill, Michael Guard is an individual health care provider with primary practice located at 1020 N 12Th St , Milwaukee WI 53233-1308. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Scahill, Michael Guard can be contacted via phone (414) 266-6229.Contact Information
Primary practice address
1020 N 12Th St
Milwaukee WI 53233-1308
Phone: (414) 266-6229
Fax: (414) 266-7638
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 79386 | Wisconsin |
Profile Details
| NPI number | 1023197837 |
|---|---|
| LBN Legal business name | Scahill, Michael Guard |
| Credentials | PNCB |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1023197837 | NPPES |
| Wisconsin | MEDICAID | 43826200 |
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