Shirato, Susan Elizabeth

Shirato, Susan Elizabeth is an individual health care provider with primary practice located at 200 Bowman Dr Ste E385 , Voorhees NJ 08043-9638. 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. Shirato, Susan Elizabeth can be contacted via phone (856) 840-4534.

Contact Information

Primary practice address
200 Bowman Dr Ste E385 Voorhees NJ 08043-9638
Phone: (856) 840-4534
Fax: (856) 762-2853
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 26NJ00472800 New Jersey

Profile Details

NPI number 1093055709
LBN Legal business name Shirato, Susan Elizabeth
Credentials DNP, CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2013
Last updated Oct 17th, 2024 - about 2 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 1093055709 NPPES
Pennsylvania Other CD4829 TPI RAILROAD MEDICARE GROUP ID
Pennsylvania MEDICAID 0672122 TPI RAILROAD MEDICARE GROUP ID
Pennsylvania Other 597586 TPI RAILROAD MEDICARE GROUP ID
Pennsylvania Other 1007278000 TPI RAILROAD MEDICARE GROUP ID

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