Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | SC004255L | PA |
N | 222Z00000X | Podiatrist | SC004255L | PA |
N | 213EP1101X | Primary Podiatric Medicine | SC004255L | PA |
Y | 213ES0131X | Foot Surgery | SC004255L | PA |
NPI | 1306833017 |
---|---|
Provider Name | Dr. Hallie Ann Shuler |
First Address | Muncy, PA 17756-1117 |
Second Address | Muncy, PA 17756-1117 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2005 |
Last Update Date | 21/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001867509-0002 | (05) | PA |
2601576 | AETNA HMO (01) | PA |
5556667 | AETNA PPO (01) | PA |
817775 | FIRST PRIORITY (01) | PA |
SH950423 | BC/BS (01) | PA |
U69023 | (02) | PA |