Shay, Sophie Grace

Shay, Sophie Grace is an individual health care provider with primary practice located at 9000 W Wisconsin Ave , Milwaukee WI 53226. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, which is considered as her primary health care specialty. Shay, Sophie Grace can be contacted via phone (414) 266-6460.

Contact Information

Primary practice address
9000 W Wisconsin Ave Milwaukee WI 53226
Phone: (414) 266-6460
Fax: (414) 266-2693
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 69318 Wisconsin

Profile Details

NPI number 1235497181
LBN Legal business name Shay, Sophie Grace
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2012
Last updated Mar 13th, 2024 - about 9 months 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 1235497181 NPPES
Wisconsin MEDICAID 1235497181

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