Shackelford, Atherine Danice

Shackelford, Atherine Danice is an individual health care provider with primary practice located at 909 Pico Blvd , Santa Monica CA 90405-1326. She recently has only one registered license in Nursing Service Providers / Medical-Surgical, which is considered as her primary health care specialty. Shackelford, Atherine Danice can be contacted via phone (310) 314-6200.

Contact Information

Primary practice address
909 Pico Blvd Santa Monica CA 90405-1326
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 95152474 California

Profile Details

NPI number 1245732858
LBN Legal business name Shackelford, Atherine Danice
Credentials LVN,RN
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2018
Last updated Feb 28th, 2018 - about 7 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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