Melarvie, Shaun J

Melarvie, Shaun J is an individual health care provider with primary practice located at 1843 Michigan St , Sturgeon Bay WI 54235-1007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Melarvie, Shaun J can be contacted via phone (920) 746-1060.

Contact Information

Primary practice address
1843 Michigan St Sturgeon Bay WI 54235-1007
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35098-20 Wisconsin

Profile Details

NPI number 1902849763
LBN Legal business name Melarvie, Shaun J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Nov 17th, 2023 - about 3 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 1902849763 NPPES
Wisconsin MEDICAID 32015800

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