Gatlin, Shuwanda Nicole
Gatlin, Shuwanda Nicole is an sole proprietor health care provider with primary practice located at 69 Ginntown Rd , Tylertown MS 39667-5597. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Gatlin, Shuwanda Nicole can be contacted via phone (601) 876-8779.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X |
Profile Details
| NPI number | 1831802669 |
|---|---|
| LBN Legal business name | Gatlin, Shuwanda Nicole |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 26th, 2022 |
| Last updated | Dec 26th, 2023 - about 2 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 | 1831802669 | NPPES |
| Mississippi | MEDICAID | 920882044 |
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