Oyeneyin, Shantora

Oyeneyin, Shantora is an individual health care provider with primary practice located at 11828 Canon Blvd Ste E , Newport News VA 23606-2554. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Oyeneyin, Shantora can be contacted via phone (757) 782-4070.

Contact Information

Primary practice address
11828 Canon Blvd Ste E Newport News VA 23606-2554
Phone: (757) 782-4070
Fax: (757) 606-1996
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904008370 Virginia

Profile Details

NPI number 1831529130
LBN Legal business name Oyeneyin, Shantora
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2013
Last updated Feb 2nd, 2026 - about 8 months 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 1831529130 NPPES
Virginia MEDICAID 1659424448

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