Sanicola, Shawn Michael

Sanicola, Shawn Michael is an individual health care provider with primary practice located at 2835 N Grandview Blvd Ste 300 , Pewaukee WI 53072-5591. He recently has 3 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 / Sports Medicine. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Sanicola, Shawn Michael can be contacted via phone (262) 542-3779.

Contact Information

Primary practice address
2835 N Grandview Blvd Ste 300 Pewaukee WI 53072-5591
Phone: (262) 542-3779
Fax: (262) 542-4428
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 883025 Wisconsin
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 883025 Wisconsin
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X 883025 Wisconsin

Profile Details

NPI number 1457356305
LBN Legal business name Sanicola, Shawn Michael
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Feb 16th, 2022 - about 4 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 1457356305 NPPES
Wisconsin Other 1316994924 NPI GROUP
Wisconsin Other 1457356305 NPI GROUP

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