Boulware, Shantell

Boulware, Shantell is an individual health care provider with primary practice located at 272 Nw Medical Loop Ste E , Roseburg OR 97471-5545. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Boulware, Shantell can be contacted via phone (541) 440-3532.

Contact Information

Primary practice address
272 Nw Medical Loop Ste E Roseburg OR 97471-5545
Phone: (541) 440-3532
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Oregon

Profile Details

NPI number 1659761435
LBN Legal business name Boulware, Shantell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2015
Last updated Jan 30th, 2015 - about 11 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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