Shinnen, Holly Nicole
Shinnen, Holly Nicole is an individual health care provider with primary practice located at 519 N Main St Ste 102 , Bristow OK 74010-2016. 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. Shinnen, Holly Nicole can be contacted via phone (918) 367-6611.Contact Information
Primary practice address
519 N Main St Ste 102
Bristow OK 74010-2016
Phone: (918) 367-6611
Fax: (918) 367-9915
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1517 | Oklahoma |
Profile Details
NPI number | 1891991576 |
---|---|
LBN Legal business name | Shinnen, Holly Nicole |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 21st, 2007 |
Last updated | Nov 13th, 2023 - about last year |
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 | 1891991576 | NPPES |
Oklahoma | MEDICAID | 200225650A | |
Oklahoma | Other | P01099343 |
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