Mugavero, Shauna Clark

Mugavero, Shauna Clark is an individual health care provider with primary practice located at 2150 Harrisburg Pike Suite 300, Lancaster PA 17601-2644. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Mugavero, Shauna Clark can be contacted via phone (717) 544-2935.

Contact Information

Primary practice address
2150 Harrisburg Pike Suite 300 Lancaster PA 17601-2644
Phone: (717) 544-2935
Fax: (717) 544-3935
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 961082 Illinois
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DN004614 Pennsylvania

Profile Details

NPI number 1750486312
LBN Legal business name Mugavero, Shauna Clark
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Mar 27th, 2014 - about 10 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 1750486312 NPPES
Illinois Other 961082 RD CERTIFICATION NUMBER

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