Powell, Shatara

Powell, Shatara is an individual health care provider with primary practice located at 10537 S Roberts Rd , Palos Hills IL 60465-1933. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Powell, Shatara can be contacted via phone (312) 543-4693.

Contact Information

Primary practice address
10537 S Roberts Rd Palos Hills IL 60465-1933
Phone: (312) 543-4693
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1114468618
LBN Legal business name Powell, Shatara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2017
Last updated Mar 16th, 2017 - about 9 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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