Bethea, Shantelle M

Bethea, Shantelle M is an individual health care provider with primary practice located at 8116 Good Luck Rd Ste 210, Lanham MD 20706-3502. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Bethea, Shantelle M can be contacted via phone (240) 965-4406.

Contact Information

Primary practice address
8116 Good Luck Rd Ste 210 Lanham MD 20706-3502
Fax: (866) 447-6687
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DI100000448 District of Columbia
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DX3601 Maryland

Profile Details

NPI number 1548629850
LBN Legal business name Bethea, Shantelle M
Credentials RDN
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2016
Last updated Mar 1st, 2017 - about 8 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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