Provider Demographics
NPI:1083782148
Name:CHRISTMAN-POWELL, SHRON MARIE (HCP)
Entity Type:Individual
Prefix:MRS
First Name:SHRON
Middle Name:MARIE
Last Name:CHRISTMAN-POWELL
Suffix:
Gender:F
Credentials:HCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1535 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:MEQUON
Mailing Address - State:WI
Mailing Address - Zip Code:53092-5053
Mailing Address - Country:US
Mailing Address - Phone:262-241-9224
Mailing Address - Fax:262-241-9228
Practice Address - Street 1:1535 W MARKET ST
Practice Address - Street 2:
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53092-5053
Practice Address - Country:US
Practice Address - Phone:262-241-9224
Practice Address - Fax:262-241-9228
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist