SHANNON MARIE COLLVER PA-C NPI 1457600520

NPI Information

NPI: 1457600520
Provider Name: SHANNON MARIE COLLVER, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
363 FREMONT ST
SUITE 203
BATTLE CREEK, MI
ZIP 49017
Phone: (269) 969-6123
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Shannon Marie Collver, PA-C is a medical physician assistant in Battle Creek, MI with 12 years of experience. Shannon Marie Collver, PA-C NPI is 1457600520. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

363 FREMONT ST
SUITE 203
BATTLE CREEK, MI
ZIP 49017-389
Phone: (269) 969-6123

The NPI 1457600520 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/5/2012 and was last updated on 11/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	5601006433	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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