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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRIAN SHAVER

Active Sole Proprietor

BRIAN SHAVER is a Respite Care healthcare provider located in FOND DU LAC, Wisconsin. NPI 1558912238 is currently active in the NPPES registry. Verify at CMS.

Respite Care · FOND DU LAC, WI

Registration Details

NPI Number
1558912238
Provider Type
Individual
Gender
Male
NPI Issued
Sep 24, 2019 (6.90596935738 yrs)
Last Updated
Sep 24, 2019
Sole Proprietor
Yes

Practice Information

Address
W4714 FULTON ST
FOND DU LAC, WI, 549359014
Browse WI providers · Browse ZIP 54935
Phone
9202042818
Primary Specialty
Respite Care
385H00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.