Bomer, Shauna Weise
Bomer, Shauna Weise is an sole proprietor health care provider with primary practice located at 112 N 7Th St , Chambersburg PA 17201-1720. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Bomer, Shauna Weise can be contacted via phone (717) 267-3000.Contact Information
Primary practice address
112 N 7Th St
Chambersburg PA 17201-1720
Phone: (717) 267-3000
Fax: (717) 267-7414
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MT191747 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD442209 | Pennsylvania |
Profile Details
| NPI number | 1982802104 |
|---|---|
| LBN Legal business name | Bomer, Shauna Weise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 10th, 2007 |
| Last updated | Oct 23rd, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982802104 | NPPES |
| Pennsylvania | Other | 050514 | MEDICARE GROUP # |
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