Bobak, Shaunna Marie
Bobak, Shaunna Marie is an individual health care provider with primary practice located at 111 Market St , Johnstown PA 15901-1608. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bobak, Shaunna Marie can be contacted via phone (814) 539-1919.Contact Information
Primary practice address
111 Market St
Johnstown PA 15901-1608
Phone: (814) 539-1919
Fax: (814) 539-1308
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SL008331 | Pennsylvania |
Profile Details
| NPI number | 1669435525 |
|---|---|
| LBN Legal business name | Bobak, Shaunna Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Nov 17th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669435525 | NPPES |
| Pennsylvania | MEDICAID | 1014961900002 | |
| Pennsylvania | Other | 231365369 |
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