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
Phone: (318) 221-8404
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508649476 | NPPES |
| Louisiana | MEDICAID | 171MOOOOOX |
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