Johnson, Shawntate

Johnson, Shawntate is an sole proprietor health care provider with primary practice located at 2640 Martin Luther King Jr Way , Berkeley CA 94704-3238. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Johnson, Shawntate can be contacted via phone (510) 981-5290.

Contact Information

Primary practice address
2640 Martin Luther King Jr Way Berkeley CA 94704-3238
Phone: (510) 981-5290
Fax: (510) 981-5265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1164129169
LBN Legal business name Johnson, Shawntate
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2023
Last updated Apr 18th, 2024 - 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.

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