Oseitutu, Shakyra

Oseitutu, Shakyra is an sole proprietor health care provider with primary practice located at 115 Community Rd , North Augusta SC 29860-8131. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education. Dietary & Nutritional Service Providers / Nutritionist is her primary health care specialty. Oseitutu, Shakyra can be contacted via phone (309) 558-5888.

Contact Information

Primary practice address
115 Community Rd North Augusta SC 29860-8131
Phone: (309) 558-5888
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X South Carolina
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X South Carolina

Profile Details

NPI number 1366014854
LBN Legal business name Oseitutu, Shakyra
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2021
Last updated Dec 26th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366014854 NPPES
South Carolina MEDICAID 302611321
South Carolina MEDICAID 850000309

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