Individual provider · Type 1 NPI

Sheldon Fountain

Driver · Milwaukee, WI

NPI number 1558543777 Active

Practice location

1000 N 92nd St
Milwaukee, WI 53226-3533

Fax (414) 259-1663

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XF5357806200909 (WI)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1558543777

Sheldon Fountain's National Provider Identifier is 1558543777, issued on Nov 29, 2007. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Milwaukee, WI. The record was last updated on Nov 29, 2007.