Chimiak, Shelby
Chimiak, Shelby is an individual health care provider with primary practice located at 3 Farm Colony Dr , Warren PA 16365-5209. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Chimiak, Shelby can be contacted via phone (866) 682-3250.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | SP023988 | Pennsylvania |
Profile Details
| NPI number | 1194393611 |
|---|---|
| LBN Legal business name | Chimiak, Shelby |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2021 |
| Last updated | Aug 25th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194393611 | NPPES |
| Pennsylvania | Other | SP023988 | PENNSYLVANIA STATE BOARD OF NURSING |
| Pennsylvania | Other | F04210481 | PENNSYLVANIA STATE BOARD OF NURSING |
| Pennsylvania | Other | RN661177 | PENNSYLVANIA STATE BOARD OF NURSING |
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