SHEBOYGAN REGIONAL ONCOLOGY CENTER LTD SHEBOYGAN, WI

Contact Information

SHEBOYGAN REGIONAL ONCOLOGY CENTER, LTD.

1222 N 23RD ST
SHEBOYGAN, WI 53081-3171

Phone: 920-457-6800
Fax: 920-457-6824
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Radiation Oncology	2085R0001X	92	Physician/Radiation Oncology
Radiation Oncology	2085R0203X

Indicates primary specialty

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NPI Profile & details for SHEBOYGAN REGIONAL ONCOLOGY CENTER LTD · (Female)

NPI Number	`1730170283`
Status	Active
Credentials
Entity	Individual
Enumeration date	11/03/2005
Last updated	04/20/2008 - About 18 years ago
Sole proprietor ¹	Not specified
Identifiers	WI Medicaid 32719000 WI Other CH3854 RAILROAD MEDICARE
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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