Dickerson, Shunta L
Dickerson, Shunta L is an individual health care provider with primary practice located at 1 Southaven Ct Apt. 9, Little Rock AR 72209-5164. She recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as her primary health care specialty. Dickerson, Shunta L can be contacted via phone (501) 912-2061.Contact Information
Primary practice address
1 Southaven Ct Apt. 9
Little Rock AR 72209-5164
Phone: (501) 912-2061
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Day Training/Habilitation Specialist | 373H00000X |
Profile Details
| NPI number | 1316155849 |
|---|---|
| LBN Legal business name | Dickerson, Shunta L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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