Idzik, Shannon K
Idzik, Shannon K is an individual health care provider with primary practice located at 655 W Lombard St 345, Baltimore MD 21201-1512. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Idzik, Shannon K can be contacted via phone (410) 706-8129.Contact Information
Primary practice address
655 W Lombard St 345
Baltimore MD 21201-1512
Phone: (410) 706-8129
Fax: (410) 706-0344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | R131534 | Maryland |
Profile Details
| NPI number | 1467445924 |
|---|---|
| LBN Legal business name | Idzik, Shannon K |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Jan 10th, 2011 - about 13 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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