Smith, Shayla D.C.

Smith, Shayla D.C. is an individual health care provider with primary practice located at 1406 Willowbrook Rd Ste 106 , Beloit WI 53511-6925. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Smith, Shayla D.C. can be contacted via phone (608) 364-4400.

Contact Information

Primary practice address
1406 Willowbrook Rd Ste 106 Beloit WI 53511-6925
Phone: (608) 364-4400
Fax: (608) 312-2477
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 147-000997 Illinois
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 467-156 Wisconsin

Profile Details

NPI number 1467451773
LBN Legal business name Smith, Shayla D.C.
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Jan 11th, 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 1467451773 NPPES
Wisconsin MEDICAID 41150300

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