Rollins, Maya Shannon
Rollins, Maya Shannon is an individual health care provider with primary practice located at 900 Wilkinson St , Mandeville LA 70448-3533. She recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Phlebotomy, Technologists, Technicians & Other Technical Service Providers / Technician, Other, Technologists, Technicians & Other Technical Service Providers / EEG. Technologists, Technicians & Other Technical Service Providers / Technician, Other is her primary health care specialty. Rollins, Maya Shannon can be contacted via phone (985) 624-4450.Contact Information
Primary practice address
900 Wilkinson St
Mandeville LA 70448-3533
Phone: (985) 624-4450
Fax: (985) 624-4461
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Phlebotomy | 246RP1900X | Z3D8D5E5 | Louisiana |
| Technologists, Technicians & Other Technical Service Providers / Technician, Other | 247200000X | W6R8Q5D7 | Louisiana |
| Technologists, Technicians & Other Technical Service Providers / EEG | 2472E0500X | Y4X2G3P6 | Louisiana |
Profile Details
| NPI number | 1275900029 |
|---|---|
| LBN Legal business name | Rollins, Maya Shannon |
| Credentials | CCMA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 27th, 2015 |
| Last updated | Aug 27th, 2015 - about 10 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 | 1275900029 | NPPES |
| Louisiana | Other | Y4X2G3P6 | CERTIFIED EKG TECHNICIAN |
| Louisiana | Other | W6R8Q5D7 | CERTIFIED EKG TECHNICIAN |
| Louisiana | Other | Z3D8D5E5 | CERTIFIED EKG TECHNICIAN |
| Louisiana | Other | LA05334 | CERTIFIED EKG TECHNICIAN |
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