Glascock, Shelly L P

Glascock, Shelly L P is an sole proprietor health care provider with primary practice located at N84W16889 Menomonee Ave , Menomonee Falls WI 53051-2810. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Glascock, Shelly L P can be contacted via phone (262) 251-7500.

Contact Information

Primary practice address
N84W16889 Menomonee Ave Menomonee Falls WI 53051-2810
Phone: (262) 251-7500
Fax: (262) 532-1396
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 9150-33 Wisconsin

Profile Details

NPI number 1598310468
LBN Legal business name Glascock, Shelly L P
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2019
Last updated Sep 24th, 2025 - about last year

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 1598310468 NPPES
Wisconsin MEDICAID 100093501

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