Shore, Olivia Celestine
Shore, Olivia Celestine is an sole proprietor health care provider with primary practice located at 1200 Old York Rd , Abington PA 19001-3720. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Shore, Olivia Celestine can be contacted via phone (215) 481-2000.Contact Information
Primary practice address
1200 Old York Rd
Abington PA 19001-3720
Phone: (215) 481-2000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | SP021260 | Pennsylvania |
Profile Details
NPI number | 1487292579 |
---|---|
LBN Legal business name | Shore, Olivia Celestine |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 19th, 2019 |
Last updated | Jan 21st, 2022 - about 2 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 | 1487292579 | NPPES |
Pennsylvania | Other | SP021260 | CRNP NUMBER |
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