Cruz, Shantelle

Cruz, Shantelle is an individual health care provider with primary practice located at 100 Standing Rock Ave , Fort Yates ND 58538. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Driver, Other Service Providers / Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Cruz, Shantelle can be contacted via phone (701) 223-2417.

Contact Information

Primary practice address
100 Standing Rock Ave Fort Yates ND 58538
Phone: (701) 223-2417
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X
Other Service Providers / Specialist 174400000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1114694130
LBN Legal business name Cruz, Shantelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2021
Last updated Aug 26th, 2021 - about 3 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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