Shamloo, Beverly J

Shamloo, Beverly J is an individual health care provider with primary practice located at 1520 S Liberty Dr , Bloomington IN 47403-5167. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Shamloo, Beverly J can be contacted via phone (812) 676-4500.

Contact Information

Primary practice address
1520 S Liberty Dr Bloomington IN 47403-5167
Phone: (812) 676-4500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71008290A Indiana

Profile Details

NPI number 1003399759
LBN Legal business name Shamloo, Beverly J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2018
Last updated Jun 2nd, 2020 - about 6 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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