Alphonso, Shandi

Alphonso, Shandi is an sole proprietor health care provider with primary practice located at 1219 N.W. 9Th St. , Okc OK 73106. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Alphonso, Shandi can be contacted via phone (405) 448-8077.

Contact Information

Primary practice address
1219 N.W. 9Th St. Okc OK 73106
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1245683929
LBN Legal business name Alphonso, Shandi
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2016
Last updated Jul 19th, 2016 - about 8 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 1245683929 NPPES
Oklahoma Other B23337391 SOONERCARE

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