Olusanya, Shaundelle Ann
Olusanya, Shaundelle Ann is an sole proprietor health care provider with primary practice located at 1060 S Bishop Ave , Rolla MO 65401-4411. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Olusanya, Shaundelle Ann can be contacted via phone (573) 426-5900.Contact Information
Primary practice address
1060 S Bishop Ave
Rolla MO 65401-4411
Phone: (573) 426-5900
Fax: (573) 426-4466
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2003014072 | Missouri |
Profile Details
| NPI number | 1801090444 |
|---|---|
| LBN Legal business name | Olusanya, Shaundelle Ann |
| Credentials | DNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2007 |
| Last updated | Apr 15th, 2016 - about 10 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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