Shively, Rachel

Shively, Rachel is an individual health care provider with primary practice located at 300 Community Dr , Manhasset NY 11030-3816. She recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Toxicology, which is considered as her primary health care specialty. Shively, Rachel can be contacted via phone (847) 567-4404.

Contact Information

Primary practice address
300 Community Dr Manhasset NY 11030-3816
Phone: (847) 567-4404
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Toxicology 207PT0002X 286686 New York

Profile Details

NPI number 1033552930
LBN Legal business name Shively, Rachel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2013
Last updated Nov 17th, 2017 - about 7 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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