Smith, Carolyn Shannon

Smith, Carolyn Shannon is an individual health care provider with primary practice located at 545 N 15Th St , Milwaukee WI 53233-2237. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Smith, Carolyn Shannon can be contacted via phone (414) 288-7184.

Contact Information

Primary practice address
545 N 15Th St Milwaukee WI 53233-2237
Phone: (414) 288-7184
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 38125 Wisconsin

Profile Details

NPI number 1902965965
LBN Legal business name Smith, Carolyn Shannon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jul 8th, 2007 - about 19 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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