Siverls, Shawnette Nicole
Siverls, Shawnette Nicole is an sole proprietor health care provider with primary practice located at 223 Common St Apt 2 , Quincy MA 02169-4752. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Siverls, Shawnette Nicole can be contacted via phone (646) 334-3258.Contact Information
Primary practice address
223 Common St Apt 2
Quincy MA 02169-4752
Phone: (646) 334-3258
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1720657422 |
|---|---|
| LBN Legal business name | Siverls, Shawnette Nicole |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2021 |
| Last updated | Jun 18th, 2021 - about 5 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 | 1720657422 | NPPES |
| Massachusetts | MEDICAID | 106S00000X | |
| Massachusetts | MEDICAID | 106S00000X |
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