Individual
MS. SHANNON LOFTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1155 N MAYFAIR RD, PLANK ROAD CLINIC, MILWAUKEE, WI 53226-3421
(414) 955-5990
(414) 955-6282
Mailing address
1155 N MAYFAIR RD, PLANK ROAD CLINIC, MILWAUKEE, WI 53226-3421
(414) 955-5990
(414) 955-6282
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
928-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008000315Q
HUMANA
—
05
—
1972557221
—
WI
Enumeration date
05/20/2006
Last updated
08/21/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us