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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518119650 | NPPES |
| Missouri | Other | 2007036610 | MISSOURI STATE LICENSE |
| Missouri | Other | 041320642 | MISSOURI STATE LICENSE |
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