James, Shannon Marie
James, Shannon Marie is an sole proprietor health care provider with primary practice located at 9730 W Bluemound Rd Ste 11 , Wauwatosa WI 53226-4455. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. James, Shannon Marie can be contacted via phone (414) 336-0525.Contact Information
Primary practice address
9730 W Bluemound Rd Ste 11
Wauwatosa WI 53226-4455
Phone: (414) 336-0525
Fax: (414) 930-2986
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 9133 | Wisconsin |
Profile Details
| NPI number | 1174038954 |
|---|---|
| LBN Legal business name | James, Shannon Marie |
| Credentials | MSW, LCSW, SAC-IT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 3rd, 2017 |
| Last updated | Jul 20th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174038954 | NPPES |
| Wisconsin | MEDICAID | 10004541 |
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