Mcquillan, Katherine Shanon

Mcquillan, Katherine Shanon is an individual health care provider with primary practice located at 1450 Eastside Rd , Platteville WI 53818-9800. 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. Mcquillan, Katherine Shanon can be contacted via phone (608) 348-4330.

Contact Information

Primary practice address
1450 Eastside Rd Platteville WI 53818-9800
Phone: (608) 348-4330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4494-33 Wisconsin

Profile Details

NPI number 1285913277
LBN Legal business name Mcquillan, Katherine Shanon
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2011
Last updated Nov 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285913277 NPPES
Wisconsin MEDICAID 100016627
Wisconsin Other 61376

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