Piasecki, Shelley D
Piasecki, Shelley D is an individual health care provider with primary practice located at 751 County Road K , Fond Du Lac WI 54937-6007. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Piasecki, Shelley D can be contacted via phone (920) 929-6716.Contact Information
Primary practice address
751 County Road K
Fond Du Lac WI 54937-6007
Phone: (920) 929-6716
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 43695-020 | Wisconsin |
Profile Details
| NPI number | 1225051741 |
|---|---|
| LBN Legal business name | Piasecki, Shelley D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Jul 21st, 2014 - about 12 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 | 1225051741 | NPPES |
| Wisconsin | MEDICAID | 34522500 | |
| Wisconsin | Other | 14823 |
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