Shambeau, Elliot
Shambeau, Elliot is an individual health care provider with primary practice located at 2930 County Hwy Nn , West Bend WI 53095-2186. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Shambeau, Elliot can be contacted via phone (262) 338-8704.Contact Information
Primary practice address
2930 County Hwy Nn
West Bend WI 53095-2186
Phone: (262) 338-8704
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / Dentist | 122300000X | 6001215-15 | Wisconsin |
Profile Details
| NPI number | 1285329177 |
|---|---|
| LBN Legal business name | Shambeau, Elliot |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2023 |
| Last updated | Jun 26th, 2023 - about last year |
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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