Cheng, Jeffrey Shine

Cheng, Jeffrey Shine is an individual health care provider with primary practice located at 9200 W Wisconsin Ave , Milwaukee WI 53226-3522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Cheng, Jeffrey Shine can be contacted via phone (414) 805-7342.

Contact Information

Primary practice address
9200 W Wisconsin Ave Milwaukee WI 53226-3522
Phone: (414) 805-7342
Fax: (414) 805-7348
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 1447646005 Illinois
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 70890 Wisconsin

Profile Details

NPI number 1447646005
LBN Legal business name Cheng, Jeffrey Shine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2015
Last updated Jul 22nd, 2019 - about 7 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 1447646005 NPPES
Wisconsin MEDICAID 1447646005

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