Acquaviva, Shannon
Acquaviva, Shannon is an sole proprietor health care provider with primary practice located at 9733 Harvester Cir , Perry Hall MD 21128-9027. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Acquaviva, Shannon can be contacted via phone (443) 415-3167.Contact Information
Primary practice address
9733 Harvester Cir
Perry Hall MD 21128-9027
Phone: (443) 415-3167
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R178155 | Maryland |
Profile Details
| NPI number | 1811403868 |
|---|---|
| LBN Legal business name | Acquaviva, Shannon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2017 |
| Last updated | Dec 28th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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