Shaw, Bronwen E

Shaw, Bronwen E is an individual health care provider with primary practice located at 9200 W Wisconsin Ave , Milwaukee WI 53226-3522. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Shaw, Bronwen E can be contacted via phone (414) 805-0505.

Contact Information

Primary practice address
9200 W Wisconsin Ave Milwaukee WI 53226-3522
Phone: (414) 805-0505
Fax: (414) 805-4606
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 64139 Wisconsin

Profile Details

NPI number 1972913614
LBN Legal business name Shaw, Bronwen E
Credentials MBCHB, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2014
Last updated Jun 5th, 2021 - about 4 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 1972913614 NPPES
Wisconsin MEDICAID 1972913614

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