Shallcross, Ann

Shallcross, Ann is an individual health care provider with primary practice located at 450 Student Health Center , University Park PA 16802. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Shallcross, Ann can be contacted via phone (814) 863-8873.

Contact Information

Primary practice address
450 Student Health Center University Park PA 16802
Fax: (814) 863-8464
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD-023756-E Pennsylvania

Profile Details

NPI number 1730207176
LBN Legal business name Shallcross, Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Jul 15th, 2008 - about 16 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 1730207176 NPPES
Pennsylvania Other SH26213 BLUE SHIELD

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