Shivers, Michael E

Shivers, Michael E is an individual health care provider with primary practice located at 620 Howard Ave , Altoona PA 16601-4804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Shivers, Michael E can be contacted via phone (814) 889-2854.

Contact Information

Primary practice address
620 Howard Ave Altoona PA 16601-4804
Fax: (814) 889-7982
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD061239L Pennsylvania

Profile Details

NPI number 1669439444
LBN Legal business name Shivers, Michael E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Jan 15th, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669439444 NPPES
Pennsylvania Other 02094901 CAPITAL BLUE CROSS
Pennsylvania MEDICAID 02662857 CAPITAL BLUE CROSS
Pennsylvania MEDICAID 4098026800 CAPITAL BLUE CROSS
Pennsylvania MEDICAID 0017715150002 CAPITAL BLUE CROSS
Pennsylvania Other SH750404 CAPITAL BLUE CROSS

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