Shank, Victoria L
Shank, Victoria L is an individual health care provider with primary practice located at 235 E State St , Saint Croix Falls WI 54024-4117. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Shank, Victoria L can be contacted via phone (715) 483-3221.Contact Information
Primary practice address
235 E State St
Saint Croix Falls WI 54024-4117
Phone: (715) 483-3221
Fax: (715) 483-0507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 43568 | Minnesota |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 63349 | Wisconsin |
Profile Details
| NPI number | 1225099567 |
|---|---|
| LBN Legal business name | Shank, Victoria L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Feb 25th, 2015 - about 11 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 | 1225099567 | NPPES |
| Minnesota | MEDICAID | 083463700 |
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