Sanford, Shaquela L

Sanford, Shaquela L is an sole proprietor health care provider with primary practice located at 301 N Saint Marks Ave , Chattanooga TN 37411-3435. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, Other Service Providers / Prosthetics Case Management. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is her primary health care specialty. Sanford, Shaquela L can be contacted via phone (256) 348-9295.

Contact Information

Primary practice address
301 N Saint Marks Ave Chattanooga TN 37411-3435
Phone: (256) 348-9295
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X Tennessee
Other Service Providers / Prosthetics Case Management 1744P3200X Tennessee

Profile Details

NPI number 1457964850
LBN Legal business name Sanford, Shaquela L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2020
Last updated Dec 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457964850 NPPES
Tennessee MEDICAID 1744P3200X

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