Shoebottom, Sheryl Lynn
Shoebottom, Sheryl Lynn is an individual health care provider with primary practice located at 1000 Harrington St , Mount Clemens MI 48043-2920. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Shoebottom, Sheryl Lynn can be contacted via phone (586) 493-8000.Contact Information
Primary practice address
1000 Harrington St
Mount Clemens MI 48043-2920
Phone: (586) 493-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 4704181141 | Michigan |
Profile Details
| NPI number | 1629373253 |
|---|---|
| LBN Legal business name | Shoebottom, Sheryl Lynn |
| Credentials | ACNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2011 |
| Last updated | Mar 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629373253 | NPPES |
| Michigan | MEDICAID | 1629373253 |
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