Stephen, Shanna
Stephen, Shanna is an individual health care provider with primary practice located at 7539 W Oakland Park Blvd Ste 41 , Tamarac FL 33319-4909. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Stephen, Shanna can be contacted via phone (754) 223-2705.Contact Information
Primary practice address
7539 W Oakland Park Blvd Ste 41
Tamarac FL 33319-4909
Phone: (754) 223-2705
Fax: (754) 223-2836
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME132321 | Florida |
Profile Details
| NPI number | 1003236175 |
|---|---|
| LBN Legal business name | Stephen, Shanna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2014 |
| Last updated | Dec 27th, 2022 - about 4 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 | 1003236175 | NPPES |
| Florida | MEDICAID | 021690000 |
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