Perez, Shanise Margot

Perez, Shanise Margot is an individual health care provider with primary practice located at 29 Pine St , Southbridge MA 01550-1823. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Perez, Shanise Margot can be contacted via phone (508) 765-9167.

Contact Information

Primary practice address
29 Pine St Southbridge MA 01550-1823
Phone: (508) 765-9167
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN2293487 Massachusetts

Profile Details

NPI number 1639652878
LBN Legal business name Perez, Shanise Margot
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2018
Last updated Sep 5th, 2019 - about 7 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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