Motamed, Shanta
Motamed, Shanta is an individual health care provider with primary practice located at 515 W Main St , Mount Olive NC 28365-1903. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Motamed, Shanta can be contacted via phone (919) 658-0003.Contact Information
Primary practice address
515 W Main St
Mount Olive NC 28365-1903
Phone: (919) 658-0003
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 5373 | North Carolina |
Profile Details
| NPI number | 1861065997 |
|---|---|
| LBN Legal business name | Motamed, Shanta |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2021 |
| Last updated | Jul 16th, 2021 - about 4 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 | 1861065997 | NPPES |
| North Carolina | MEDICAID | 5373 |
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