Shabazz, Shahidah
Shabazz, Shahidah is an individual health care provider with primary practice located at 5011 9Th St Nw , Washington DC 20011-3915. She recently has only one registered license in Emergency Medical Service Providers / Personal Emergency Response Attendant, which is considered as her primary health care specialty. Shabazz, Shahidah can be contacted via phone (202) 253-2047.Contact Information
Primary practice address
5011 9Th St Nw
Washington DC 20011-3915
Phone: (202) 253-2047
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Emergency Medical Service Providers / Personal Emergency Response Attendant | 146D00000X | District of Columbia |
Profile Details
| NPI number | 1588120828 |
|---|---|
| LBN Legal business name | Shabazz, Shahidah |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2019 |
| Last updated | Feb 12th, 2019 - about 6 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 | 1588120828 | NPPES |
| District of Columbia | MEDICAID | 05 |
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