Capen, Shanna Lea Gustafson

Capen, Shanna Lea Gustafson is an sole proprietor health care provider with primary practice located at 360 Central Ave Suite 1230, St Petersburg FL 33701-3857. She recently has only one registered license in Other Service Providers / Genetic Counselor, MS, which is considered as her primary health care specialty. Capen, Shanna Lea Gustafson can be contacted via phone (800) 975-4819.

Contact Information

Primary practice address
360 Central Ave Suite 1230 St Petersburg FL 33701-3857
Phone: (800) 975-4819
Fax: (760) 203-1194
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Genetic Counselor, MS 170300000X

Profile Details

NPI number 1205856184
LBN Legal business name Capen, Shanna Lea Gustafson
Credentials M.S., M.P.H, C.G.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2006
Last updated Jul 29th, 2016 - about 10 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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