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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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