Wilson, Shawn P

Wilson, Shawn P is an individual health care provider with primary practice located at 1969 W Hart Rd , Beloit WI 53511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wilson, Shawn P can be contacted via phone (608) 758-7215.

Contact Information

Primary practice address
1969 W Hart Rd Beloit WI 53511
Phone: (608) 758-7215
Fax: (608) 758-3216
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 031093 Wisconsin

Profile Details

NPI number 1356458517
LBN Legal business name Wilson, Shawn P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Nov 3rd, 2020 - 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 1356458517 NPPES
Wisconsin MEDICAID 31583400

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