Bolger, Shannon Mary
Bolger, Shannon Mary is an sole proprietor health care provider with primary practice located at 1700 Ludwell Dr , Maple Glen PA 19002-3027. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Bolger, Shannon Mary can be contacted via phone (610) 724-1185.Contact Information
Primary practice address
1700 Ludwell Dr
Maple Glen PA 19002-3027
Phone: (610) 724-1185
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1548615362 |
|---|---|
| LBN Legal business name | Bolger, Shannon Mary |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 29th, 2016 |
| Last updated | Apr 29th, 2016 - about 10 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 | 1548615362 | NPPES |
| Pennsylvania | Other | 2255A2300X | SPECIALIST/TECHNOLOGIST - ATHLETIC TRAINER |
| Pennsylvania | Other | 390200000X | SPECIALIST/TECHNOLOGIST - ATHLETIC TRAINER |
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