Costly, Rachael Shannel
Costly, Rachael Shannel is an sole proprietor health care provider with primary practice located at 9500 County Road 190 , Manvel TX 77578-5078. She recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as her primary health care specialty. Costly, Rachael Shannel can be contacted via phone (225) 788-7048.Contact Information
Primary practice address
9500 County Road 190
Manvel TX 77578-5078
Phone: (225) 788-7048
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X |
Profile Details
| NPI number | 1356976120 |
|---|---|
| LBN Legal business name | Costly, Rachael Shannel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 11th, 2020 |
| Last updated | Mar 11th, 2020 - about 5 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 | 1356976120 | NPPES |
| Texas | MEDICAID | 82-5309384 |
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