Rose, Shana-Kay Shantell
Rose, Shana-Kay Shantell is an sole proprietor health care provider with primary practice located at 4201 Dean Lakes Blvd Ste 160 , Shakopee MN 55379-2863. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Rose, Shana-Kay Shantell can be contacted via phone (612) 509-6691.Contact Information
Primary practice address
4201 Dean Lakes Blvd Ste 160
Shakopee MN 55379-2863
Phone: (612) 509-6691
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1922608256 |
|---|---|
| LBN Legal business name | Rose, Shana-Kay Shantell |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2020 |
| Last updated | Oct 27th, 2020 - 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 | 1922608256 | NPPES |
| Minnesota | MEDICAID | 1588993091 |
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