Shakespaere, Dujuan

Shakespaere, Dujuan is an individual health care provider with primary practice located at 652 S Medical Ctr Dr , St George UT 84790-7017. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Shakespaere, Dujuan can be contacted via phone (435) 251-2286.

Contact Information

Primary practice address
652 S Medical Ctr Dr St George UT 84790-7017
Phone: (435) 251-2286
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 7468860-4810 Utah

Profile Details

NPI number 1790052058
LBN Legal business name Shakespaere, Dujuan
Credentials MS,ATC,LAT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2011
Last updated Nov 30th, 2011 - about 14 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 1790052058 NPPES
Other 2000002230 NATIONAL ATHLETIC TRAINERS' ASSOCIATION BOARD OF CERTIFICATION

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