Shivers, Darci Lee
Shivers, Darci Lee is an individual health care provider with primary practice located at 272 Medical Loop Suite C, Roseburg OR 97471. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Shivers, Darci Lee can be contacted via phone (541) 440-3532.Contact Information
Primary practice address
272 Medical Loop Suite C
Roseburg OR 97471
Phone: (541) 440-3532
Fax: (541) 440-3554
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1063776961 |
|---|---|
| LBN Legal business name | Shivers, Darci Lee |
| Credentials | QMHA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2012 |
| Last updated | May 18th, 2015 - about 9 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 | 1063776961 | NPPES |
| Oregon | MEDICAID | 500665854 |
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