Sjak-Shie, Nelida N

Sjak-Shie, Nelida N is an individual health care provider with primary practice located at 1818 N Meade St Suite W120, Appleton WI 54911-3454. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Sjak-Shie, Nelida N can be contacted via phone (920) 735-7300.

Contact Information

Primary practice address
1818 N Meade St Suite W120 Appleton WI 54911-3454
Phone: (920) 735-7300
Fax: (920) 735-7333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 2001031729 Missouri
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 63276 Wisconsin

Profile Details

NPI number 1174511703
LBN Legal business name Sjak-Shie, Nelida N
Credentials PHD MD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Aug 14th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174511703 NPPES
Missouri MEDICAID 205706625

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