Slivinski, Shelly R
Slivinski, Shelly R is an individual health care provider with primary practice located at 2147 Professional Dr , Gaylord MI 49735-0003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Slivinski, Shelly R can be contacted via phone (989) 732-1753.Contact Information
Primary practice address
2147 Professional Dr
Gaylord MI 49735-0003
Phone: (989) 732-1753
Fax: (989) 731-1425
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601004137 | Michigan |
Profile Details
| NPI number | 1770568248 |
|---|---|
| LBN Legal business name | Slivinski, Shelly R |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Dec 30th, 2020 - about 5 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 | 1770568248 | NPPES |
| Michigan | Other | 0F96004 | GROUP MEDICARE ID NUMBER |
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