Brown, Shanan Marie
Brown, Shanan Marie is an individual health care provider with primary practice located at 6200 Saratoga Blvd , Corpus Christi TX 78414-3421. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Brown, Shanan Marie can be contacted via phone (210) 859-6261.Contact Information
Primary practice address
6200 Saratoga Blvd
Corpus Christi TX 78414-3421
Phone: (210) 859-6261
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 23376 | Texas |
Profile Details
| NPI number | 1700083292 |
|---|---|
| LBN Legal business name | Brown, Shanan Marie |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2007 |
| Last updated | Jun 12th, 2024 - about 5 months 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 | 1700083292 | NPPES |
| Texas | MEDICAID | 1700083292 |
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