Fehr, Shayne D

Fehr, Shayne D is an individual health care provider with primary practice located at 3365 S 103Rd St Pediatric Sports Medicine, Milwaukee WI 53227-4161. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Fehr, Shayne D can be contacted via phone (414) 955-2600.

Contact Information

Primary practice address
3365 S 103Rd St Pediatric Sports Medicine Milwaukee WI 53227-4161
Phone: (414) 955-2600
Fax: (414) 955-6440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 55847 Wisconsin

Profile Details

NPI number 1659587244
LBN Legal business name Fehr, Shayne D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Jun 13th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659587244 NPPES
Wisconsin MEDICAID 1659587244

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