Slaasted, Shane

Slaasted, Shane is an sole proprietor health care provider with primary practice located at 10101 W Wisconsin Ave , Milwaukee WI 53226-4861. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Slaasted, Shane can be contacted via phone (414) 259-6310.

Contact Information

Primary practice address
10101 W Wisconsin Ave Milwaukee WI 53226-4861
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 2954-19 Wisconsin

Profile Details

NPI number 1679111793
LBN Legal business name Slaasted, Shane
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2019
Last updated Dec 19th, 2019 - about 7 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.

Request for update

Popular Providers