Mcclurkin, Shannon K

Mcclurkin, Shannon K is an individual health care provider with primary practice located at 175 E. Chester Pike , Ridley Park PA 19078-2284. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Mcclurkin, Shannon K can be contacted via phone (215) 442-5085.

Contact Information

Primary practice address
175 E. Chester Pike Ridley Park PA 19078-2284
Phone: (215) 442-5085
Fax: (877) 329-2370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN550491 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X L1-0029265 Delaware
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 26NR13142900 New Jersey

Profile Details

NPI number 1588800189
LBN Legal business name Mcclurkin, Shannon K
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2009
Last updated Oct 25th, 2011 - about 15 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 1588800189 NPPES
Pennsylvania Other 079043 AANA
Pennsylvania MEDICAID 102309550 AANA

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