Clanton, Shahidah Z
Clanton, Shahidah Z is an sole proprietor health care provider with primary practice located at 3711 Queens Blvd , Long Island City NY 11101-1725. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Ambulatory Care. Nursing Service Providers / Ambulatory Care is her primary health care specialty. Clanton, Shahidah Z can be contacted via phone (718) 361-5100.Contact Information
Primary practice address
3711 Queens Blvd
Long Island City NY 11101-1725
Phone: (718) 361-5100
Fax: (718) 361-5169
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 295432-1 | New York |
Nursing Service Providers / Ambulatory Care | 163WP2201X | 714895-1 | New York |
Profile Details
NPI number | 1073880373 |
---|---|
LBN Legal business name | Clanton, Shahidah Z |
Credentials | Registered Nurse (RN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 30th, 2011 |
Last updated | Oct 12th, 2016 - 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.
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