Hackerott, Shauna

Hackerott, Shauna is an sole proprietor health care provider with primary practice located at 2420 24Th St , Great Bend KS 67530-2428. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Hackerott, Shauna can be contacted via phone (620) 899-4828.

Contact Information

Primary practice address
2420 24Th St Great Bend KS 67530-2428
Fax:
Website:

Health care specialties

Profile Details

NPI number 1326683780
LBN Legal business name Hackerott, Shauna
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2019
Last updated Nov 8th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326683780 NPPES
Kansas Other 22269 22269

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