Bauman, Shayna Dae
Bauman, Shayna Dae is an individual health care provider with primary practice located at 1301 Pennsylvania Ave , Fort Worth TX 76104-2122. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Bauman, Shayna Dae can be contacted via phone (817) 250-3120.Contact Information
Primary practice address
1301 Pennsylvania Ave
Fort Worth TX 76104-2122
Phone: (817) 250-3120
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | 780351 | Texas |
Profile Details
| NPI number | 1043600489 |
|---|---|
| LBN Legal business name | Bauman, Shayna Dae |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2015 |
| Last updated | Jan 23rd, 2015 - about 9 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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