Shantry, Christine Holly
Shantry, Christine Holly is an individual health care provider with primary practice located at 15855 19 Mile Rd Emergency Dept, Clinton Township MI 48038-3504. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Shantry, Christine Holly can be contacted via phone (586) 263-2601.Contact Information
Primary practice address
15855 19 Mile Rd Emergency Dept
Clinton Township MI 48038-3504
Phone: (586) 263-2601
Fax: (586) 263-2589
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 4704226543 | Michigan |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4704226543 | Michigan |
Profile Details
NPI number | 1295065951 |
---|---|
LBN Legal business name | Shantry, Christine Holly |
Credentials | ACNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 31st, 2009 |
Last updated | Jul 24th, 2012 - about 12 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 | 1295065951 | NPPES |
Michigan | Other | 12067480 | CAQH |
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