Farmer, Shawavian A
Farmer, Shawavian A is an sole proprietor health care provider with primary practice located at 17637 Calle De Amigos , Moreno Valley CA 92551-6351. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Farmer, Shawavian A can be contacted via phone (951) 543-7438.Contact Information
Primary practice address
17637 Calle De Amigos
Moreno Valley CA 92551-6351
Phone: (951) 543-7438
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1972020428 |
|---|---|
| LBN Legal business name | Farmer, Shawavian A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2017 |
| Last updated | Jun 16th, 2018 - about 7 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 | 1972020428 | NPPES |
| California | Other | 98573138F65012 | IEHP |
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