Shively, Norman Paul
Shively, Norman Paul is an individual health care provider with primary practice located at 2500 Racquet Ln Ste 100, Yakima WA 98902-6114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Shively, Norman Paul can be contacted via phone (509) 249-3900.Contact Information
Primary practice address
2500 Racquet Ln Ste 100
Yakima WA 98902-6114
Phone: (509) 249-3900
Fax: (509) 573-9539
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 025209MD00025513 | Washington |
Profile Details
| NPI number | 1942297452 |
|---|---|
| LBN Legal business name | Shively, Norman Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2005 |
| Last updated | Jun 2nd, 2016 - about 8 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 | 1942297452 | NPPES |
| Washington | Other | 340011804 | RAILROAD MEDICARE PIN |
| Washington | Other | 340011417 | RAILROAD MEDICARE PIN |
| Washington | MEDICAID | 1048172 | RAILROAD MEDICARE PIN |
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