Antoine, Shakoyia S
Antoine, Shakoyia S is an individual health care provider with primary practice located at 114 E Shaw Ave Ste 210 , Fresno CA 93710-7621. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Antoine, Shakoyia S can be contacted via phone (559) 221-8100.Contact Information
Primary practice address
114 E Shaw Ave Ste 210
Fresno CA 93710-7621
Phone: (559) 221-8100
Fax: (559) 221-8101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1992981534 |
|---|---|
| LBN Legal business name | Antoine, Shakoyia S |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 14th, 2008 |
| Last updated | Jan 14th, 2008 - about 17 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 | 1992981534 | NPPES |
| California | Other | 101076 | MEDI-CAL |
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