Mcbride, Shauna L

Mcbride, Shauna L is an individual health care provider with primary practice located at 168 N 100 E , St George UT 84770-2893. 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. Mcbride, Shauna L can be contacted via phone (435) 986-2565.

Contact Information

Primary practice address
168 N 100 E St George UT 84770-2893
Phone: (435) 986-2565
Fax: (435) 986-2577
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 58509011206 Utah

Profile Details

NPI number 1457330532
LBN Legal business name Mcbride, Shauna L
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Mar 19th, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457330532 NPPES
Utah MEDICAID 352163112003
Utah Other 461819
Utah Other 352163112017
Utah Other 000057177

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