Elliot Shambeau
Elliot Shambeau is a Student in an Organized Health Care Education/Training Program in West Bend, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2023.
- Licensed in
- WI
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
2930 County Hwy NnWest Bend, WI 53095-2186
Phone: (262) 338-8704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 6001215-15 (WI) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1285329177 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 7, 2023 |
| Last updated in NPPES | June 26, 2023 |
| Certification date | June 26, 2023 |
| Mailing address | 2930 County Hwy Nn, West Bend, WI 53095 |
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