Cantu Santoli, Shannan
Cantu Santoli, Shannan is an individual health care provider with primary practice located at 5050 South Lake Dr. #100510, Cudahy WI 53110-6108. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Other Service Providers / Midwife. Other Service Providers / Midwife is her primary health care specialty. Cantu Santoli, Shannan can be contacted via phone (414) 769-2239.Contact Information
Primary practice address
5050 South Lake Dr. #100510
Cudahy WI 53110-6108
Phone: (414) 769-2239
Fax: (618) 997-5285
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 209015629 | Illinois |
| Other Service Providers / Midwife | 176B00000X | 148990-32 | Wisconsin |
Profile Details
| NPI number | 1982143335 |
|---|---|
| LBN Legal business name | Cantu Santoli, Shannan |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2017 |
| Last updated | Oct 10th, 2023 - about 2 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 | 1982143335 | NPPES |
| Wisconsin | MEDICAID | 1982143335 | |
| Wisconsin | MEDICAID | 1000-947-56 |
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