Goodman, Shana
Goodman, Shana is an sole proprietor health care provider with primary practice located at 1624 Hillcrest Dr , Manitowoc WI 54220-1825. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Goodman, Shana can be contacted via phone (920) 905-3568.Contact Information
Primary practice address
1624 Hillcrest Dr
Manitowoc WI 54220-1825
Phone: (920) 905-3568
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 179390030 | Wisconsin |
Profile Details
| NPI number | 1609151182 |
|---|---|
| LBN Legal business name | Goodman, Shana |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2011 |
| Last updated | Oct 17th, 2011 - about 15 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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