Seifert, Shannon

Seifert, Shannon is an individual health care provider with primary practice located at 201 E University Pkwy , Baltimore MD 21218-2829. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Seifert, Shannon can be contacted via phone (410) 455-2300.

Contact Information

Primary practice address
201 E University Pkwy Baltimore MD 21218-2829
Phone: (410) 455-2300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R145654 Maryland

Profile Details

NPI number 1396742946
LBN Legal business name Seifert, Shannon
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Jan 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396742946 NPPES
Maryland Other 454MK569 TRAILBLAZER
Maryland MEDICAID 406930700 TRAILBLAZER

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