Pulliam, Dornicho Shanta
Pulliam, Dornicho Shanta is an sole proprietor health care provider with primary practice located at 6815 W Capitol Dr Ste 304 , Milwaukee WI 53216-2056. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Pulliam, Dornicho Shanta can be contacted via phone (414) 909-1079.Contact Information
Primary practice address
6815 W Capitol Dr Ste 304
Milwaukee WI 53216-2056
Phone: (414) 909-1079
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 130575-121 | Wisconsin |
Profile Details
| NPI number | 1871295055 |
|---|---|
| LBN Legal business name | Pulliam, Dornicho Shanta |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 20th, 2023 |
| Last updated | Mar 20th, 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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