Shannon, William P

Shannon, William P is an individual health care provider with primary practice located at 6630 University Ave , Middleton WI 53562-3036. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Shannon, William P can be contacted via phone (608) 263-8412.

Contact Information

Primary practice address
6630 University Ave Middleton WI 53562-3036
Phone: (608) 263-8412
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 27321 Wisconsin

Profile Details

NPI number 1043282221
LBN Legal business name Shannon, William P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jan 26th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043282221 NPPES
Wisconsin MEDICAID 30852700

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