Ebert, Shasta Leann
Ebert, Shasta Leann is an individual health care provider with primary practice located at 125 Days Inn Dr , Mooresville NC 28117-6323. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ebert, Shasta Leann can be contacted via phone (704) 660-9111.Contact Information
Primary practice address
125 Days Inn Dr
Mooresville NC 28117-6323
Phone: (704) 660-9111
Fax: (704) 663-4504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5005908 | North Carolina |
Profile Details
| NPI number | 1093069627 |
|---|---|
| LBN Legal business name | Ebert, Shasta Leann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 5th, 2012 |
| Last updated | Jan 3rd, 2024 - about 10 months 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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