Hart, Shana Marie

Hart, Shana Marie is an individual health care provider with primary practice located at 311 Veterans Blvd Suite B, Denham Springs LA 70726-4722. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Hart, Shana Marie can be contacted via phone (225) 665-4554.

Contact Information

Primary practice address
311 Veterans Blvd Suite B Denham Springs LA 70726-4722
Phone: (225) 665-4554
Fax: (225) 665-6995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 023680 Louisiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 023680 Louisiana

Profile Details

NPI number 1205811858
LBN Legal business name Hart, Shana Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Mar 24th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205811858 NPPES
Louisiana MEDICAID 1484423

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