Ann, Shandra
Ann, Shandra is an sole proprietor health care provider with primary practice located at 310 E 6Th St Ste 102 , Medford OR 97501-5933. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Ann, Shandra can be contacted via phone (541) 630-3242.Contact Information
Primary practice address
310 E 6Th St Ste 102
Medford OR 97501-5933
Phone: (541) 630-3242
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X |
Profile Details
NPI number | 1932810348 |
---|---|
LBN Legal business name | Ann, Shandra |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 6th, 2022 |
Last updated | May 4th, 2023 - about 2 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 | 1932810348 | NPPES |
Other | NONE | NONE |
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