Shand, Phyllis Cvach

Shand, Phyllis Cvach is an individual health care provider with primary practice located at 1645 Liberty Rd Suite 204, Eldersburg MD 21784-6521. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Shand, Phyllis Cvach can be contacted via phone (410) 795-7737.

Contact Information

Primary practice address
1645 Liberty Rd Suite 204 Eldersburg MD 21784-6521
Fax: (410) 795-2828
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R041230 Maryland

Profile Details

NPI number 1710984984
LBN Legal business name Shand, Phyllis Cvach
Credentials C.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2005
Last updated Jan 6th, 2010 - about 16 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 1710984984 NPPES
Maryland MEDICAID 277541700
Maryland MEDICAID 23951400

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