Shelley London is a Clinical in Milwaukee, Wisconsin. Shelley London practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shelley London is 1033204607. The last update date is 2007-07-08.
Shelley London's current location address is 1300 N. Jackson Street, Milwaukee, Wisconsin. You can contact this provider via phone number 4143905800 and fax number 4142251346. The mailing address for Shelley London is 1300 N. Jackson Street, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelley London |
|---|---|
| Address | 1300 N. Jackson Street, Milwaukee, Wisconsin |
| Phone Number | 4143905800 |
| Fax Number | 4142251346 |
| Sole Proprietor | N |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1033204607 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1300 N. Jackson Street |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 53202 |
| Phone Number | 4143905800 |
| Fax Number | 4142251346 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3097-123 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39280600 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Shelley London by the Centers for Medicare & Medicaid Services?
The Shelley London has been issued the NPI (National Provider Identifier) 1033204607. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Shelley London?
The Shelley London is situated at 1300 N. Jackson Street, in the city of Milwaukee, state of WI, with the zip code 53202.
What is Shelley London's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shelley London is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did Shelley London receive its 1033204607 assignment from the Centers for Medicare & Medicaid Services?
The Shelley London was assigned its 1033204607 on 2006-10-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Shelley London, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shelley London, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.