Sullivan, Shannon Marie
Sullivan, Shannon Marie is an individual health care provider with primary practice located at 2005 Midway Rd , Menasha WI 54952. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sullivan, Shannon Marie can be contacted via phone (920) 832-8500.Contact Information
Primary practice address
2005 Midway Rd
Menasha WI 54952
Phone: (920) 832-8500
Fax: (920) 993-2919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 66251 | Wisconsin |
Profile Details
| NPI number | 1972998680 |
|---|---|
| LBN Legal business name | Sullivan, Shannon Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2015 |
| Last updated | Sep 13th, 2018 - about 6 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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