Kofoed, Shauna Lee

Kofoed, Shauna Lee is an sole proprietor health care provider with primary practice located at 860 N 18Th St , Manitowoc WI 54220-3131. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Kofoed, Shauna Lee can be contacted via phone (414) 708-6119.

Contact Information

Primary practice address
860 N 18Th St Manitowoc WI 54220-3131
Phone: (414) 708-6119
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 148381 Wisconsin

Profile Details

NPI number 1720713753
LBN Legal business name Kofoed, Shauna Lee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2022
Last updated Jul 22nd, 2022 - about 4 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 1720713753 NPPES
Wisconsin Other 148381 RN

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