Koser, Shawnda L
Koser, Shawnda L is an sole proprietor health care provider with primary practice located at 3100 Willow Street Pike S , Willow Street PA 17584-9373. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Koser, Shawnda L can be contacted via phone (717) 464-9013.Contact Information
Primary practice address
3100 Willow Street Pike S
Willow Street PA 17584-9373
Phone: (717) 464-9013
Fax: (717) 464-9018
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT015059 | Pennsylvania |
Profile Details
NPI number | 1194768176 |
---|---|
LBN Legal business name | Koser, Shawnda L |
Credentials | MSPT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 14th, 2006 |
Last updated | Feb 28th, 2019 - about 5 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 | 1194768176 | NPPES |
Pennsylvania | MEDICAID | 1016013490001 |
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