Fulton, Shanna
Fulton, Shanna is an individual health care provider with primary practice located at 4630 Opelousas Ct , Grand Prairie TX 75052-1738. 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. Fulton, Shanna can be contacted via phone (972) 374-7557.Contact Information
Primary practice address
4630 Opelousas Ct
Grand Prairie TX 75052-1738
Phone: (972) 374-7557
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 15726 | Texas |
Profile Details
| NPI number | 1558096537 |
|---|---|
| LBN Legal business name | Fulton, Shanna |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2022 |
| Last updated | Jul 22nd, 2022 - about 3 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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