Shidler, Claire

Shidler, Claire is an individual health care provider with primary practice located at 458 Herndon St , Shreveport LA 71101-4859. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Shidler, Claire can be contacted via phone (318) 221-8404.

Contact Information

Primary practice address
458 Herndon St Shreveport LA 71101-4859
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1508649476
LBN Legal business name Shidler, Claire
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2023
Last updated Aug 22nd, 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 1508649476 NPPES
Louisiana MEDICAID 171MOOOOOX

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