Vicki Shawver in Olney - Developmental Therapist

Vicki Shawver - NPI 1154436384

Vicki Shawver is a Developmental Therapist in Olney, Illinois. Vicki Shawver practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Vicki Shawver is 1154436384. The last update date is 2007-07-08.

Vicki Shawver's current location address is 723 E Main St, Olney, Illinois. You can contact this provider via phone number 6183937732 and fax number 6183953123. The mailing address for Vicki Shawver is 723 E Main St, Olney, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Vicki Shawver
Address 723 E Main St, Olney, Illinois
Phone Number 6183937732
Fax Number 6183953123
Sole Proprietor N
Credentials RN,BS

NPI Number Detail

NPI Number 1154436384
Provider Enumeration Date 2006-08-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 723 E Main St
City Olney
State Illinois (IL)
Post Code 624502619
Phone Number 6183937732
Fax Number 6183953123

Provider's Primary Taxonomy Detail

Speciality Developmental Therapist
Taxonomy 222Q00000X
Definition:
A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8030288 IL BLUECROSS/BLUESHIELD IL

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FAQs about Vicki Shawver

What is the unique 10-digit identifier code issued to Vicki Shawver by the Centers for Medicare & Medicaid Services?

The Vicki Shawver has been assigned the NPI (National Provider Identifier) 1154436384 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Vicki Shawver's physical address?

The Vicki Shawver is physically located at 723 E Main St, in the city of Olney, IL, with the postal code 624502619.

What is Vicki Shawver's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Vicki Shawver is Developmental Therapist, and the taxonomy code that classifies this field of practice is 222Q00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1154436384 to Vicki Shawver?

The Vicki Shawver received its 1154436384 assignment from the Centers for Medicare & Medicaid Services on 2006-08-20.

As of what date was the information pertaining to Vicki Shawver, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Vicki Shawver, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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