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Contact Information

OB-GYN ASSOC OF GREEN BAY LTD
704 S WEBSTER AVE
STE 300
GREEN BAY, WI54301
 Phone: 920-468-3443
 Fax: 920-432-6313
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207VC0200X 16 Physician/Obstetrics & Gynecology
 

Family Health

364SF0001X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for OB GYN ASSOC OF GREEN BAY LTD · (Female)

NPI # 1154400034
Status Active
Credentials
Entity Individual
Enumeration date 11/03/2006
Last updated 07/01/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI Medicaid 30661000
  • WI Medicaid 30984300
  • WI Medicaid 32400300
  • WI Medicaid 41963900
  • WI Medicaid 41964300
  • WI Medicaid 43977500
  • Other 1174547244 KIM SHEFCHIK PAC NPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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