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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487292579 NPPES
Pennsylvania Other SP021260 CRNP NUMBER

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