Bibis, Shannon M

Bibis, Shannon M is an individual health care provider with primary practice located at 725 American Ave , Waukesha WI 53188-5031. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Bibis, Shannon M can be contacted via phone (262) 928-2594.

Contact Information

Primary practice address
725 American Ave Waukesha WI 53188-5031
Phone: (262) 928-2594
Fax: (414) 805-5809
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 156515 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 156515 Wisconsin

Profile Details

NPI number 1588891097
LBN Legal business name Bibis, Shannon M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2009
Last updated Dec 1st, 2022 - 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 1588891097 NPPES
Wisconsin MEDICAID 1588891097

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