Bigtacion, Shallymar
Bigtacion, Shallymar is an sole proprietor health care provider with primary practice located at 700 S Main St Ste 101B , Lapeer MI 48446-3082. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bigtacion, Shallymar can be contacted via phone (810) 969-4500.Contact Information
Primary practice address
700 S Main St Ste 101B
Lapeer MI 48446-3082
Phone: (810) 969-4500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4704248976 | Michigan |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4704248973 | Michigan |
Profile Details
| NPI number | 1053879411 |
|---|---|
| LBN Legal business name | Bigtacion, Shallymar |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 5th, 2019 |
| Last updated | Jun 25th, 2019 - about 5 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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