Basant, Shante

Basant, Shante is an sole proprietor health care provider with primary practice located at 5995 Oren Ave N Ste 209 , Stillwater MN 55082-6777. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Nursing Service Providers / Registered Nurse. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Basant, Shante can be contacted via phone (612) 524-9237.

Contact Information

Primary practice address
5995 Oren Ave N Ste 209 Stillwater MN 55082-6777
Phone: (612) 524-9237
Fax: (612) 314-8317
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2192-124 Wisconsin
Nursing Service Providers / Registered Nurse 163W00000X 2485250 Minnesota
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2306 Minnesota

Profile Details

NPI number 1073880068
LBN Legal business name Basant, Shante
Credentials LMFT, RN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2011
Last updated Mar 5th, 2024 - about last year

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 1073880068 NPPES
Minnesota MEDICAID 1073880068

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