Shisram, Unknown

Shisram, Unknown is an individual health care provider with primary practice located at 96799 Turner Drive , Pago Pago AS 96799-9994. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Shisram, Unknown can be contacted via phone (684) 633-1222.

Contact Information

Primary practice address
96799 Turner Drive Pago Pago AS 96799-9994
Phone: (684) 633-1222
Fax: (684) 633-2893
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2182-C American Samoa

Profile Details

NPI number 1952758096
LBN Legal business name Shisram, Unknown
Credentials MSCMH, DSM, DMH
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2016
Last updated May 18th, 2016 - 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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