Shores, Kristie
Shores, Kristie is an individual health care provider with primary practice located at 7096 Decatur St , New Tripoli PA 18066-3815. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Shores, Kristie can be contacted via phone (610) 298-8521.Contact Information
Primary practice address
7096 Decatur St
New Tripoli PA 18066-3815
Phone: (610) 298-8521
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MA060130 | Pennsylvania |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA060130 | Pennsylvania |
Profile Details
NPI number | 1942784319 |
---|---|
LBN Legal business name | Shores, Kristie |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 20th, 2018 |
Last updated | Apr 26th, 2023 - 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 | 1942784319 | NPPES |
Pennsylvania | Other | MA060130 | STATE LICENSE |
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