Anthony, Shaun
Anthony, Shaun is an sole proprietor health care provider with primary practice located at 1601 Sansberry Rd , Charlotte NC 28262-4937. He recently has only one registered license in Nursing Service Related Providers / Attendant Care Provider, which is considered as his primary health care specialty. Anthony, Shaun can be contacted via phone (302) 897-2404.Contact Information
Primary practice address
1601 Sansberry Rd
Charlotte NC 28262-4937
Phone: (302) 897-2404
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Attendant Care Provider | 3747A0650X |
Profile Details
| NPI number | 1457998825 |
|---|---|
| LBN Legal business name | Anthony, Shaun |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 4th, 2019 |
| Last updated | Dec 4th, 2019 - about 6 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 | 1457998825 | NPPES |
| Delaware | MEDICAID | 1172511 |
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