Shirley, Gail Ellen
Shirley, Gail Ellen is an individual health care provider with primary practice located at Rte 611 & Frantz Rd. Bartonsville Plaza, 7 Pmc Physician Associates Internal Medicine, Stroudsburg PA 18360. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Shirley, Gail Ellen can be contacted via phone (570) 476-3700.Contact Information
Primary practice address
Rte 611 & Frantz Rd. Bartonsville Plaza, 7 Pmc Physician Associates Internal Medicine
Stroudsburg PA 18360
Phone: (570) 476-3700
Fax: (570) 476-3637
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | OS005037L | Pennsylvania |
Profile Details
| NPI number | 1528156460 |
|---|---|
| LBN Legal business name | Shirley, Gail Ellen |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Nov 18th, 2011 - about 14 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 | 1528156460 | NPPES |
| Pennsylvania | Other | 2822326 | AETNA PROVIDER NUMBER |
| Pennsylvania | Other | P661341 | AETNA PROVIDER NUMBER |
| Pennsylvania | Other | 5997984 | AETNA PROVIDER NUMBER |
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