Acosta, Shawna Marie

Acosta, Shawna Marie is an individual health care provider with primary practice located at 2008 N Garey Ave , Pomona CA 91767-2722. She recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as her primary health care specialty. Acosta, Shawna Marie can be contacted via phone (909) 623-6131.

Contact Information

Primary practice address
2008 N Garey Ave Pomona CA 91767-2722
Phone: (909) 623-6131
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X 41283 California

Profile Details

NPI number 1477118990
LBN Legal business name Acosta, Shawna Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2019
Last updated May 9th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477118990 NPPES
California MEDICAID 167G00000X

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