Shank, Holly J
Shank, Holly J is an individual health care provider with primary practice located at 2221 Health Dr Sw Ste 2100 , Wyoming MI 49519-9650. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Shank, Holly J can be contacted via phone (616) 252-4100.Contact Information
Primary practice address
2221 Health Dr Sw Ste 2100
Wyoming MI 49519-9650
Phone: (616) 252-4100
Fax: (616) 252-4480
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601003909 | Michigan |
Profile Details
NPI number | 1972577583 |
---|---|
LBN Legal business name | Shank, Holly J |
Credentials | PA C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 13th, 2006 |
Last updated | Feb 13th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1972577583 | NPPES |
Michigan | Other | 970030440 | RAILROAD MEDICARE |
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