MEDICARE: SHAVER CONSULTING, LLC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1356669931
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHAVER CONSULTING, LLC.

Provider Business Mailing Address
First Line	:	1702 ELLSWORTH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19146-3012
Country	:	US
Telephone Number	:	215-703-7428
Fax Number	:	267-775-3494

Provider Business Practice Location Address
First Line	:	1702 ELLSWORTH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19146-3012
Country	:	US
Telephone Number	:	215-703-7428
Fax Number	:	267-775-3494

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. MARY JO WARD
Credential	:	B.A.
Telephone Number	:	215-703-7428

Provider Enumeration Date	:	05/06/2010
Last Update Date	:	05/06/2010

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