Ware, Shenandoah Lee

Ware, Shenandoah Lee is an sole proprietor health care provider with primary practice located at 3700 Haines Rd N Apt 8 , St Petersburg FL 33704-1150. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Ware, Shenandoah Lee can be contacted via phone (870) 577-3264.

Contact Information

Primary practice address
3700 Haines Rd N Apt 8 St Petersburg FL 33704-1150
Phone: (870) 577-3264
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT782 Arkansas

Profile Details

NPI number 1558360354
LBN Legal business name Ware, Shenandoah Lee
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2005
Last updated Jan 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558360354 NPPES
Arkansas MEDICAID 138734721

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