Campanano, Maria Sheila Laja
Campanano, Maria Sheila Laja is an sole proprietor health care provider with primary practice located at 1128 Harvest Brook Dr , Lawrenceville GA 30043-4743. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Campanano, Maria Sheila Laja can be contacted via phone (770) 601-8984.Contact Information
Primary practice address
1128 Harvest Brook Dr
Lawrenceville GA 30043-4743
Phone: (770) 601-8984
Fax: (770) 574-4428
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT008924 | Georgia |
Profile Details
NPI number | 1942410535 |
---|---|
LBN Legal business name | Campanano, Maria Sheila Laja |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 23rd, 2007 |
Last updated | Jun 24th, 2015 - about 9 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 | 1942410535 | NPPES |
Georgia | MEDICAID | 315889908A |
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