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MATTHEW SHIN
NPI 1508628736
Student in an Organized Health Care Education/Training Program in Wausau, WI

Active since January 24, 2024
100 N 72ND AVE STE 207, WAUSAU, WI 54401(715) 301-0267 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Matthew Shin NPPES

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

MATTHEW SHIN (NPI 1508628736) is an individual student in an organized health care education/training program in Wausau, Wisconsin and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1508628736
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW SHIN
Location Address100 N 72ND AVE STE 207Wausau, WI 54401-9042
Mailing Address100 N 72nd Ave Ste 207Wausau, WI 54401-9042 · (715) 301-0267
Phone(715) 301-0267
Sole ProprietorNo
Enumeration DateJanuary 24, 2024
NPPES CertifiedJanuary 24, 2024
✔ NPI 1508628736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
100 N 72ND AVE STE 207, Wausau, WI 54401
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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 Matthew Shin's NPI number?

The NPI number for Matthew Shin is 1508628736. It was assigned to this individual provider in the NPPES registry on January 24, 2024.

Where is Matthew Shin located?

Matthew Shin practices at 100 N 72nd Ave Ste 207, Wausau, WI 54401. The listed phone number is (715) 301-0267.

What is Matthew Shin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Matthew Shin was last updated on January 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.