Perry, Shawna

Perry, Shawna is an sole proprietor health care provider with primary practice located at 334 Main St , Dickson City PA 18519-1668. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Perry, Shawna can be contacted via phone (570) 307-1767.

Contact Information

Primary practice address
334 Main St Dickson City PA 18519-1668
Phone: (570) 307-1767
Fax: (570) 307-1778
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA056542 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X MA056542 Pennsylvania

Profile Details

NPI number 1356779086
LBN Legal business name Perry, Shawna
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2013
Last updated Jan 25th, 2017 - about 7 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 1356779086 NPPES
Pennsylvania Other MA056542 PA LICENSE
Pennsylvania Other 1113405 PA LICENSE

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