Benner-Erickson, Shawna Elisa
Benner-Erickson, Shawna Elisa is an individual health care provider with primary practice located at 1005 Highway 2 , Sandpoint ID 83864-1702. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Benner-Erickson, Shawna Elisa can be contacted via phone (208) 263-1632.Contact Information
Primary practice address
1005 Highway 2
Sandpoint ID 83864-1702
Phone: (208) 263-1632
Fax: (208) 255-2066
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT 1783 | Idaho |
Profile Details
| NPI number | 1699802553 |
|---|---|
| LBN Legal business name | Benner-Erickson, Shawna Elisa |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1699802553 | NPPES |
| Idaho | Other | 000010152747 | BLUE SHIELD |
| Idaho | Other | TD256 | BLUE SHIELD |
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