Dickerson, Shauntun

Dickerson, Shauntun is an sole proprietor health care provider with primary practice located at 1418 N 27Th St , Milwaukee WI 53208-2409. He recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as his primary health care specialty. Dickerson, Shauntun can be contacted via phone (414) 366-6269.

Contact Information

Primary practice address
1418 N 27Th St Milwaukee WI 53208-2409
Phone: (414) 366-6269
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1134471279
LBN Legal business name Dickerson, Shauntun
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2012
Last updated Oct 14th, 2012 - about 14 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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