Shubin, Pamela S

Shubin, Pamela S is an individual health care provider with primary practice located at 2930 11Th Ave , Evans CO 80620-1011. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shubin, Pamela S can be contacted via phone (970) 353-9403.

Contact Information

Primary practice address
2930 11Th Ave Evans CO 80620-1011
Phone: (970) 353-9403
Fax: (970) 353-5584
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0002679 Colorado

Profile Details

NPI number 1780642520
LBN Legal business name Shubin, Pamela S
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Mar 23rd, 2016 - about 10 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 1780642520 NPPES
Colorado MEDICAID 64534511

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