Shields, Sandra Jean

Shields, Sandra Jean is an sole proprietor health care provider with primary practice located at 775 Justin Rd , Rockwall TX 75087. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Nursing Service Providers / Registered Nurse. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Shields, Sandra Jean can be contacted via phone (972) 772-4006.

Contact Information

Primary practice address
775 Justin Rd Rockwall TX 75087
Phone: (972) 772-4006
Fax: (972) 772-3547
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 18416 Texas
Nursing Service Providers / Registered Nurse 163W00000X 431448 Texas

Profile Details

NPI number 1790895704
LBN Legal business name Shields, Sandra Jean
Credentials RN LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Sep 16th, 2010 - about 16 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 1790895704 NPPES
Texas MEDICAID 00S40Y

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