Schiltz, Shannon L
Schiltz, Shannon L is an individual health care provider with primary practice located at 625 W Washington Ave , Madison WI 53703-2637. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Schiltz, Shannon L can be contacted via phone (608) 280-2700.Contact Information
Primary practice address
625 W Washington Ave
Madison WI 53703-2637
Phone: (608) 280-2700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 4015 | Wisconsin |
Profile Details
| NPI number | 1912172370 |
|---|---|
| LBN Legal business name | Schiltz, Shannon L |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2008 |
| Last updated | Oct 14th, 2008 - about 16 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 | 1912172370 | NPPES |
| Wisconsin | MEDICAID | 43590700 |
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