Shannon Loftis in Milwaukee - Physician Assistant
Shannon Loftis - NPI 1972557221
Shannon Loftis is a Physician Assistant in Milwaukee, Wisconsin. Shannon Loftis practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shannon Loftis is 1972557221. The last update date is 2014-08-21.
Shannon Loftis's current location address is 1155 N Mayfair Rd, Milwaukee, Wisconsin. You can contact this provider via phone number 4149555990 and fax number 4149556282. The mailing address for Shannon Loftis is 1155 N Mayfair Rd, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Loftis |
|---|---|
| Address | 1155 N Mayfair Rd, Milwaukee, Wisconsin |
| Phone Number | 4149555990 |
| Fax Number | 4149556282 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1972557221 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2014-08-21 |
Provider Mailing Address Detail
| Address | 1155 N Mayfair Rd |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532263421 |
| Phone Number | 4149555990 |
| Fax Number | 4149556282 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 928-023 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1972557221 | WI | -- | |
| 008000315Q | HUMANA |
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What is the unique identifier code issued to Shannon Loftis by the Centers for Medicare & Medicaid Services?
The Shannon Loftis has been assigned the NPI (National Provider Identifier) 1972557221. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
What is Shannon Loftis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Shannon Loftis is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date was the 1972557221 assigned to Shannon Loftis?
The Shannon Loftis was issued its 1972557221 on 2006-05-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Shannon Loftis receive the assignment of its 1972557221 from the Centers for Medicare & Medicaid Services?
The Shannon Loftis was issued its 1972557221 by the Centers for Medicare & Medicaid Services on 2006-05-20.
When was the information regarding Shannon Loftis most recently updated?
The details pertaining to the Shannon Loftis, including its address, specialty, and other relevant information, were last refreshed on 2014-08-21.