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Contact Information

LISA L SHOVER, PTA
63 SPRING ST
NEWPORT, VT05855-5819
 Phone: 802-334-6242
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
 

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for LISA L SHOVER · (Female)

NPI Number 1679739445
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 07/31/2008
Last updated 10/08/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 08228
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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