Shevitz, Dorian K

Shevitz, Dorian K is an individual health care provider with primary practice located at 900 N Austin Ave Suite 105, Georgetown TX 78626-4345. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Shevitz, Dorian K can be contacted via phone (512) 930-1025.

Contact Information

Primary practice address
900 N Austin Ave Suite 105 Georgetown TX 78626-4345
Phone: (512) 930-1025
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA04481 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X OK1740 Oklahoma

Profile Details

NPI number 1780658930
LBN Legal business name Shevitz, Dorian K
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Feb 13th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780658930 NPPES
Oklahoma MEDICAID 200212830

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