Shutts, Michaelene
Shutts, Michaelene is an individual health care provider with primary practice located at 384 East Ave Ste B , Rochester NY 14607-1909. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Shutts, Michaelene can be contacted via phone (585) 720-9608.Contact Information
Primary practice address
384 East Ave Ste B
Rochester NY 14607-1909
Phone: (585) 720-9608
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 026811 | New York |
Profile Details
| NPI number | 1164554374 |
|---|---|
| LBN Legal business name | Shutts, Michaelene |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 12th, 2007 |
| Last updated | Apr 14th, 2008 - about 17 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 | 1164554374 | NPPES |
| New York | Other | RB6104 | MEDICARE PTAN |
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