Smith, Sharon Anne
Smith, Sharon Anne is an sole proprietor health care provider with primary practice located at 425 Milwaukee Ave Suite One, Burlington WI 53105-1230. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Smith, Sharon Anne can be contacted via phone (262) 763-9128.Contact Information
Primary practice address
425 Milwaukee Ave Suite One
Burlington WI 53105-1230
Phone: (262) 763-9128
Fax: (262) 763-9120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 22539 | Wisconsin |
Profile Details
| NPI number | 1245376300 |
|---|---|
| LBN Legal business name | Smith, Sharon Anne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1245376300 | NPPES |
| Wisconsin | MEDICAID | 30289800 |
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