Shaver, Jeannelle M
Shaver, Jeannelle M is an individual health care provider with primary practice located at 102 Park Street Pryun Pavilioin At Glens Falls Hospital The Vascular Group Pllc, Glens Falls NY 12801. 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. Shaver, Jeannelle M can be contacted via phone (518) 792-7122.Contact Information
Primary practice address
102 Park Street Pryun Pavilioin At Glens Falls Hospital The Vascular Group Pllc
Glens Falls NY 12801
Phone: (518) 792-7122
Fax: (518) 792-3800
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 007337 | New York |
Profile Details
| NPI number | 1225007347 |
|---|---|
| LBN Legal business name | Shaver, Jeannelle M |
| Credentials | RPA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1225007347 | NPPES |
| New York | MEDICAID | 02341202 |
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