Claiborne, Shastity

Claiborne, Shastity is an individual health care provider with primary practice located at 410 E Askew St , Tallulah LA 71282-3706. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Claiborne, Shastity can be contacted via phone (318) 574-2320.

Contact Information

Primary practice address
410 E Askew St Tallulah LA 71282-3706
Phone: (318) 574-2320
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 171M00000X Louisiana

Profile Details

NPI number 1841868031
LBN Legal business name Claiborne, Shastity
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2021
Last updated Jun 14th, 2021 - about 5 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 1841868031 NPPES
Louisiana MEDICAID 1972980514

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