Burrell, Shantana
Burrell, Shantana is an sole proprietor health care provider with primary practice located at 2632 Sw Port St Lucie Blvd , Port Saint Lucie FL 34953-2845. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Burrell, Shantana can be contacted via phone (954) 540-7002.Contact Information
Primary practice address
2632 Sw Port St Lucie Blvd
Port Saint Lucie FL 34953-2845
Phone: (954) 540-7002
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1588129837 |
|---|---|
| LBN Legal business name | Burrell, Shantana |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2019 |
| Last updated | Jan 31st, 2019 - about 7 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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