Fosso, Shelda Sue

Fosso, Shelda Sue is an individual health care provider with primary practice located at 155 N Sawyer St , Oshkosh WI 54902-5674. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Fosso, Shelda Sue can be contacted via phone (920) 230-7600.

Contact Information

Primary practice address
155 N Sawyer St Oshkosh WI 54902-5674
Fax: (920) 230-7603
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3365-012 Wisconsin

Profile Details

NPI number 1083639728
LBN Legal business name Fosso, Shelda Sue
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated May 26th, 2021 - about 5 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 1083639728 NPPES
Wisconsin MEDICAID 38896900

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