Blaker, Shelley
Blaker, Shelley is an individual health care provider with primary practice located at 5401 Old York Rd Willowcrest Bldg, 4Th Fl, Phila PA 19141-3030. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Blaker, Shelley can be contacted via phone (215) 456-3953.Contact Information
Primary practice address
5401 Old York Rd Willowcrest Bldg, 4Th Fl
Phila PA 19141-3030
Phone: (215) 456-3953
Fax: (215) 456-5948
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | MA053673 | Pennsylvania |
Profile Details
| NPI number | 1326293523 |
|---|---|
| LBN Legal business name | Blaker, Shelley |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2008 |
| Last updated | Dec 2nd, 2008 - about 17 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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