Robinson, Shantell
Robinson, Shantell is an sole proprietor health care provider with primary practice located at 1415 Nw 43Rd St Ste 104 , Oklahoma City OK 73118-5027. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Robinson, Shantell can be contacted via phone (405) 362-6399.Contact Information
Primary practice address
1415 Nw 43Rd St Ste 104
Oklahoma City OK 73118-5027
Phone: (405) 362-6399
Fax: (580) 215-5764
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1750002945 |
|---|---|
| LBN Legal business name | Robinson, Shantell |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2022 |
| Last updated | Dec 18th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750002945 | NPPES |
| Oklahoma | MEDICAID | 1790418283 | |
| Oklahoma | MEDICAID | 1750002945 |
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