Shawver, Cole R

Shawver, Cole R is an sole proprietor health care provider with primary practice located at 1400 W 4Th St , Coffeyville KS 67337-3306. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Shawver, Cole R can be contacted via phone (620) 251-1200.

Contact Information

Primary practice address
1400 W 4Th St Coffeyville KS 67337-3306
Phone: (620) 251-1200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 154164 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP61095990 Washington

Profile Details

NPI number 1912300120
LBN Legal business name Shawver, Cole R
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2014
Last updated Jun 14th, 2021 - about 5 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 1912300120 NPPES
Washington MEDICAID 2166074

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