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SHAUNTUN DICKERSON
NPI 1134471279
Durable Medical Equipment & Medical Supplies in Milwaukee, WI

Active since October 14, 2012
1418 N 27TH ST, MILWAUKEE, WI 53208(414) 366-6269 Get Directions Write a Review

NPPES record last updated: October 14, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shauntun Dickerson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAUNTUN DICKERSON (NPI 1134471279) is an individual durable medical equipment & medical supplies provider in Milwaukee, Wisconsin and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1134471279
Entity TypeIndividualMale
Primary Taxonomy332B00000X
Provider Legal NameSHAUNTUN DICKERSON
Location Address1418 N 27TH STMilwaukee, WI 53208-2409
Mailing Address1418 N 27th StMilwaukee, WI 53208-2409 · (414) 366-6269
Phone(414) 366-6269
Sole ProprietorYes
Enumeration DateOctober 14, 2012
✔ NPI 1134471279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
1418 N 27TH ST, Milwaukee, WI 53208
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shauntun Dickerson's NPI number?

The NPI number for Shauntun Dickerson is 1134471279. It was assigned to this individual provider in the NPPES registry on October 14, 2012.

Where is Shauntun Dickerson located?

Shauntun Dickerson practices at 1418 N 27th St, Milwaukee, WI 53208. The listed phone number is (414) 366-6269.

What is Shauntun Dickerson's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Shauntun Dickerson was last updated on October 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.