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
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063928398 | NPPES |
Illinois | MEDICAID | 1811165061 |
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