Asberry, Shawntae

Asberry, Shawntae is an individual health care provider with primary practice located at 425 Grant St , Bridgeport CT 06610-3222. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Asberry, Shawntae can be contacted via phone (203) 781-4600.

Contact Information

Primary practice address
425 Grant St Bridgeport CT 06610-3222
Phone: (203) 781-4600
Fax: (203) 781-4624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 36054 Connecticut

Profile Details

NPI number 1386014462
LBN Legal business name Asberry, Shawntae
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2015
Last updated Jan 24th, 2022 - about 4 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 1386014462 NPPES
Connecticut MEDICAID 008023170
Connecticut MEDICAID 008042339
Connecticut MEDICAID 008024427

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