Shivock, Paula

Shivock, Paula is an individual health care provider with primary practice located at 440 N 5Th St , Stroudsburg PA 18360-2439. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Shivock, Paula can be contacted via phone (570) 878-9818.

Contact Information

Primary practice address
440 N 5Th St Stroudsburg PA 18360-2439
Phone: (570) 878-9818
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 12014120-4810 Utah

Profile Details

NPI number 1497124143
LBN Legal business name Shivock, Paula
Credentials LAT ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2015
Last updated Feb 24th, 2022 - about 3 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 1497124143 NPPES
Other 2000026336 ATHLETIC TRAINER CERTIFIED BOC
Other 12014120-4810 ATHLETIC TRAINER CERTIFIED BOC

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