Brown, Shawnna

Brown, Shawnna is an individual health care provider with primary practice located at 9393 Beloit Rd , Belvidere IL 61008-9735. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Brown, Shawnna can be contacted via phone (815) 547-3843.

Contact Information

Primary practice address
9393 Beloit Rd Belvidere IL 61008-9735
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 2384582 Illinois

Profile Details

NPI number 1063928398
LBN Legal business name Brown, Shawnna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2017
Last updated Dec 22nd, 2017 - about 7 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 1063928398 NPPES
Illinois MEDICAID 1811165061

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