Rollins, Maya Shannon

Rollins, Maya Shannon is an individual health care provider with primary practice located at 900 Wilkinson St , Mandeville LA 70448-3533. She recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Phlebotomy, Technologists, Technicians & Other Technical Service Providers / Technician, Other, Technologists, Technicians & Other Technical Service Providers / EEG. Technologists, Technicians & Other Technical Service Providers / Technician, Other is her primary health care specialty. Rollins, Maya Shannon can be contacted via phone (985) 624-4450.

Contact Information

Primary practice address
900 Wilkinson St Mandeville LA 70448-3533
Phone: (985) 624-4450
Fax: (985) 624-4461
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X Z3D8D5E5 Louisiana
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X W6R8Q5D7 Louisiana
Technologists, Technicians & Other Technical Service Providers / EEG 2472E0500X Y4X2G3P6 Louisiana

Profile Details

NPI number 1275900029
LBN Legal business name Rollins, Maya Shannon
Credentials CCMA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2015
Last updated Aug 27th, 2015 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275900029 NPPES
Louisiana Other Y4X2G3P6 CERTIFIED EKG TECHNICIAN
Louisiana Other W6R8Q5D7 CERTIFIED EKG TECHNICIAN
Louisiana Other Z3D8D5E5 CERTIFIED EKG TECHNICIAN
Louisiana Other LA05334 CERTIFIED EKG TECHNICIAN

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