Bostian, Shauna L

Bostian, Shauna L is an individual health care provider with primary practice located at 12 Park Pl Ste B , Swansea IL 62226-2923. She recently has only one registered license in Nursing Service Providers / Registered Nurse First Assistant, which is considered as her primary health care specialty. Bostian, Shauna L can be contacted via phone (618) 233-5722.

Contact Information

Primary practice address
12 Park Pl Ste B Swansea IL 62226-2923
Phone: (618) 233-5722
Fax: (618) 233-7069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X 041320642 Illinois

Profile Details

NPI number 1518119650
LBN Legal business name Bostian, Shauna L
Credentials RNFA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2008
Last updated Oct 21st, 2008 - about 16 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 1518119650 NPPES
Missouri Other 2007036610 MISSOURI STATE LICENSE
Missouri Other 041320642 MISSOURI STATE LICENSE

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