Provider Demographics
NPI:1356669931
Name:SHAVER CONSULTING, LLC.
Entity Type:Organization
Organization Name:SHAVER CONSULTING, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY JO
Authorized Official - Middle Name:
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:215-703-7428
Mailing Address - Street 1:1702 ELLSWORTH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19146-3012
Mailing Address - Country:US
Mailing Address - Phone:215-703-7428
Mailing Address - Fax:267-775-3494
Practice Address - Street 1:1702 ELLSWORTH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19146-3012
Practice Address - Country:US
Practice Address - Phone:215-703-7428
Practice Address - Fax:267-775-3494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-06
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies