Shefchik, Amanda L
Shefchik, Amanda L is an individual health care provider with primary practice located at 744 S Webster Ave Fl 2 , Green Bay WI 54301-3505. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Shefchik, Amanda L can be contacted via phone (920) 433-3640.Contact Information
Primary practice address
744 S Webster Ave Fl 2
Green Bay WI 54301-3505
Phone: (920) 433-3640
Fax: (920) 433-3716
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 134756-030 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 2563-033 | Wisconsin |
| Nursing Service Providers / Registered Nurse | 163W00000X | 134756-30 | Wisconsin |
Profile Details
| NPI number | 1336192707 |
|---|---|
| LBN Legal business name | Shefchik, Amanda L |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Mar 9th, 2011 - about 14 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 | 1336192707 | NPPES |
| Wisconsin | MEDICAID | 41259200 |
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