Dietrick, Shawna Davella
Dietrick, Shawna Davella is an sole proprietor health care provider with primary practice located at 35675 Garner St , Romulus MI 48174-4129. She recently has only one registered license in Respite Care Facility / Respite Care, Physical Disabilities, Child, which is considered as her primary health care specialty. Dietrick, Shawna Davella can be contacted via phone (810) 308-7991.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Physical Disabilities, Child | 385HR2065X | D362765135841 | Michigan |
Profile Details
| NPI number | 1154955219 |
|---|---|
| LBN Legal business name | Dietrick, Shawna Davella |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2020 |
| Last updated | Feb 27th, 2020 - about 6 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 | 1154955219 | NPPES |
| Michigan | Other | D362765135841 | IDENTIFICATION |
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