Provider Demographics
NPI:1932868536
Name:PAISAR, SHAWN DAVID (HIS)
Entity Type:Individual
Prefix:
First Name:SHAWN
Middle Name:DAVID
Last Name:PAISAR
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1699 SCHOFIELD AVE. SUITE 106
Mailing Address - Street 2:KUHN HEARING CENTER
Mailing Address - City:SCHOFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:54476
Mailing Address - Country:US
Mailing Address - Phone:715-298-5511
Mailing Address - Fax:715-298-5510
Practice Address - Street 1:1699 SCHOFIELD AVE. SUITE 106
Practice Address - Street 2:KUHN HEARING CENTER
Practice Address - City:SCHOFIELD
Practice Address - State:WI
Practice Address - Zip Code:54476
Practice Address - Country:US
Practice Address - Phone:715-298-5511
Practice Address - Fax:715-298-5510
Is Sole Proprietor?:No
Enumeration Date:2021-12-10
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist