Shapley, Marcy A
Shapley, Marcy A is an individual health care provider with primary practice located at 2116 E Section St , Mount Vernon WA 98274-9124. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Internal Medicine. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Shapley, Marcy A can be contacted via phone (360) 428-1700.Contact Information
Primary practice address
2116 E Section St
Mount Vernon WA 98274-9124
Phone: (360) 428-1700
Fax: (360) 848-4350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | PA10003789 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10003789 | Washington |
Profile Details
| NPI number | 1578656047 |
|---|---|
| LBN Legal business name | Shapley, Marcy A |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jul 19th, 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 | 1578656047 | NPPES |
| Washington | MEDICAID | 8363640 | |
| Washington | Other | 172515 | |
| Washington | Other | 2252SH | |
| Washington | Other | 3642SH |
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