Schmidt, Shannon Leah
Schmidt, Shannon Leah is an individual health care provider with primary practice located at 2500 E Capitol Dr , Appleton WI 54911-8735. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Schmidt, Shannon Leah can be contacted via phone (920) 364-3600.Contact Information
Primary practice address
2500 E Capitol Dr
Appleton WI 54911-8735
Phone: (920) 364-3600
Fax: (920) 364-3900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 55748 | Wisconsin |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 55748 | Wisconsin |
Profile Details
| NPI number | 1033351465 |
|---|---|
| LBN Legal business name | Schmidt, Shannon Leah |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2009 |
| Last updated | Sep 1st, 2016 - about 9 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 | 1033351465 | NPPES |
| Wisconsin | Other | K400321105 | MEDICARE PTAN |
| Wisconsin | Other | K400321103 | MEDICARE PTAN |
| Wisconsin | Other | K400321104 | MEDICARE PTAN |
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