Shorterevans, Andrea Lynnette
Shorterevans, Andrea Lynnette is an individual health care provider with primary practice located at 620 John Paul Jones Cir , Portsmouth VA 23708-2111. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Shorterevans, Andrea Lynnette can be contacted via phone (757) 953-7550.Contact Information
Primary practice address
620 John Paul Jones Cir
Portsmouth VA 23708-2111
Phone: (757) 953-7550
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 0401008394 | Virginia |
| Dental Providers / Dentist | 122300000X | 11678 | Maryland |
Profile Details
| NPI number | 1811962525 |
|---|---|
| LBN Legal business name | Shorterevans, Andrea Lynnette |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Apr 26th, 2021 - about 4 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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