Henderson, Shawna M

Henderson, Shawna M is an individual health care provider with primary practice located at 3001 S Jackson St , San Angelo TX 76904-5129. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as her primary health care specialty. Henderson, Shawna M can be contacted via phone (325) 223-6300.

Contact Information

Primary practice address
3001 S Jackson St San Angelo TX 76904-5129
Phone: (325) 223-6300
Fax: (325) 793-3587
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 81001 Texas

Profile Details

NPI number 1912622663
LBN Legal business name Henderson, Shawna M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2022
Last updated Oct 5th, 2022 - about 2 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 1912622663 NPPES
Texas Other 81001 COMMERCIAL
Texas MEDICAID 81001 COMMERCIAL

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