Cavallaro, Sheila M

Cavallaro, Sheila M is an individual health care provider with primary practice located at 20520 Keokuk Ave Ste 104 , Lakeville MN 55044-6085. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Cavallaro, Sheila M can be contacted via phone (952) 469-5033.

Contact Information

Primary practice address
20520 Keokuk Ave Ste 104 Lakeville MN 55044-6085
Phone: (952) 469-5033
Fax: (952) 469-5069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 9897 Minnesota

Profile Details

NPI number 1154386001
LBN Legal business name Cavallaro, Sheila M
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Oct 14th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154386001 NPPES
Minnesota Other 0119269 SELECT CARE
Minnesota Other 1042141 SELECT CARE
Minnesota Other 132409 SELECT CARE
Minnesota Other 352L5BE SELECT CARE
Minnesota Other 0119269 SELECT CARE
Minnesota MEDICAID 231912800 SELECT CARE
Minnesota Other HP47685 SELECT CARE

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