Doctor, Shivani

Doctor, Shivani is an individual health care provider with primary practice located at 1001 Sam Perry Blvd , Fredericksburg VA 22401-4453. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Doctor, Shivani can be contacted via phone (540) 361-1000.

Contact Information

Primary practice address
1001 Sam Perry Blvd Fredericksburg VA 22401-4453
Phone: (540) 361-1000
Fax: (540) 361-7010
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110002305 Virginia

Profile Details

NPI number 1154400091
LBN Legal business name Doctor, Shivani
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Feb 8th, 2016 - about 8 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 1154400091 NPPES
Virginia MEDICAID 1154400091

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