Ball, Shanna

Ball, Shanna is an individual health care provider with primary practice located at 80 Sharron Ave , Plattsburgh NY 12901-4700. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Ball, Shanna can be contacted via phone (518) 561-1447.

Contact Information

Primary practice address
80 Sharron Ave Plattsburgh NY 12901-4700
Fax: (518) 562-8812
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 595969 New York

Profile Details

NPI number 1952721227
LBN Legal business name Ball, Shanna
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2014
Last updated Apr 24th, 2014 - about 11 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 1952721227 NPPES
New York MEDICAID 03008257

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