Meyer, Shannon S

Meyer, Shannon S is an individual health care provider with primary practice located at 311 Elm St , Woodruff WI 54568-9149. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Meyer, Shannon S can be contacted via phone (715) 634-9023.

Contact Information

Primary practice address
311 Elm St Woodruff WI 54568-9149
Phone: (715) 634-9023
Fax: (715) 634-9935
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 726-25 Wisconsin
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 726-25 Wisconsin

Profile Details

NPI number 1316933542
LBN Legal business name Meyer, Shannon S
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Aug 23rd, 2017 - about 9 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 1316933542 NPPES
Wisconsin MEDICAID 43222500
Wisconsin Other CG4176

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