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.
Popular Providers
-
Schackert, Christine
6701 N Charles St 4105, Baltimore MD 21204-6808 -
Weber, Mary
5300 Alpha Commons Dr Suite 105, Baltimore MD 21224-2764 -
Kelley, Maureen Anne
3900 Loch Raven Blvd , Baltimore MD 21218-2108 -
Ambush, Jacqueline Ebony
4367 Hollins Ferry Rd Ste.1C, Baltimore MD 21227-3400 -
Emerling, Amy Marie
401 N Broadway Room 1123, Baltimore MD 21231-1146 -
Nicholson, Terri Shenell
405 N Paca St , Baltimore MD 21201-1815 -
Yeasmin, Selina
16 S Eutaw St Frankline Building, 3Rd Floor, Baltimore MD 21201-1606 -
Reeb, Kristen Johnson
401 North Broadway Suite 2100, Baltimore MD 21231