Packard, Shanika
Packard, Shanika is an sole proprietor health care provider with primary practice located at 1500 S Haven Ave Ste 250 , Ontario CA 91761-2973. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Packard, Shanika can be contacted via phone (909) 749-5204.Contact Information
Primary practice address
1500 S Haven Ave Ste 250
Ontario CA 91761-2973
Phone: (909) 749-5204
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X |
Profile Details
| NPI number | 1134633969 |
|---|---|
| LBN Legal business name | Packard, Shanika |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2017 |
| Last updated | Apr 29th, 2020 - about 6 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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