Ross, Shawnee Marie
Ross, Shawnee Marie is an sole proprietor health care provider with primary practice located at 25112 W Saddle Mountain Rd , Morristown AZ 85342-9068. She recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as her primary health care specialty. Ross, Shawnee Marie can be contacted via phone (623) 388-9865.Contact Information
Primary practice address
25112 W Saddle Mountain Rd
Morristown AZ 85342-9068
Phone: (623) 388-9865
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | 10949 | Arizona |
Profile Details
| NPI number | 1689747271 |
|---|---|
| LBN Legal business name | Ross, Shawnee Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1689747271 | NPPES |
| Arizona | MEDICAID | 048441 |
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