Brunson, Shanta

Brunson, Shanta is an sole proprietor health care provider with primary practice located at 601 S Lake St , Gary IN 46403-2937. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Brunson, Shanta can be contacted via phone (219) 413-1220.

Contact Information

Primary practice address
601 S Lake St Gary IN 46403-2937
Phone: (219) 413-1220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 229006 Indiana

Profile Details

NPI number 1336755610
LBN Legal business name Brunson, Shanta
Credentials HOME HEALTH AGENCY
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2020
Last updated Sep 22nd, 2020 - about 4 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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