Provider Demographics
NPI:1306330592
Name:SINNEN, MEGAN JEANNE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:JEANNE
Last Name:SINNEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:JEANNE
Other - Last Name:SHAFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5900 1ST PL
Mailing Address - Street 2:
Mailing Address - City:KENOSHA
Mailing Address - State:WI
Mailing Address - Zip Code:53144-7201
Mailing Address - Country:US
Mailing Address - Phone:262-909-6812
Mailing Address - Fax:
Practice Address - Street 1:4924 7TH AVE
Practice Address - Street 2:
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53140-3349
Practice Address - Country:US
Practice Address - Phone:262-997-9573
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-20
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI18848-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist