Sample, Shirley Jane
Sample, Shirley Jane is an individual health care provider with primary practice located at 1300 Bellona Ave Ste B , Lutherville MD 21093-5466. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Sample, Shirley Jane can be contacted via phone (844) 606-5105.Contact Information
Primary practice address
1300 Bellona Ave Ste B
Lutherville MD 21093-5466
Phone: (844) 606-5105
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | R080367 | Maryland |
Profile Details
| NPI number | 1417019936 |
|---|---|
| LBN Legal business name | Sample, Shirley Jane |
| Credentials | C.R.N.P. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Aug 20th, 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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