Shattuck, Ann
Shattuck, Ann is an individual health care provider with primary practice located at 2910 Tricom St Ste 100 , North Charleston SC 29406-9351. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Shattuck, Ann can be contacted via phone (843) 572-9211.Contact Information
Primary practice address
2910 Tricom St Ste 100
North Charleston SC 29406-9351
Phone: (843) 572-9211
Fax: (843) 572-0457
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 24125 | South Carolina |
Profile Details
| NPI number | 1417566936 |
|---|---|
| LBN Legal business name | Shattuck, Ann |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2020 |
| Last updated | Oct 22nd, 2022 - about 3 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 | 1417566936 | NPPES |
| South Carolina | MEDICAID | NP6971 |
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