Shahwan, Dalia F.
Shahwan, Dalia F. is an individual health care provider with primary practice located at 2603 W Rawson Ave Suite 713, Oak Creek WI 53154-8422. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Shahwan, Dalia F. can be contacted via phone (414) 431-6900.Contact Information
Primary practice address
2603 W Rawson Ave Suite 713
Oak Creek WI 53154-8422
Phone: (414) 431-6900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 5100-33 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 5100-33 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 5100-33 | Wisconsin |
Profile Details
| NPI number | 1598018459 |
|---|---|
| LBN Legal business name | Shahwan, Dalia F. |
| Credentials | NURSE PRACTITIONER |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2012 |
| Last updated | Feb 1st, 2016 - about 10 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 | 1598018459 | NPPES |
| Wisconsin | MEDICAID | 1639190671 |
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