Shanley, Debra Joan

Shanley, Debra Joan is an sole proprietor health care provider with primary practice located at 2500 Mowry Ave Ste 130 , Fremont CA 94538-1605. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter, which is considered as her primary health care specialty. Shanley, Debra Joan can be contacted via phone (510) 790-1911.

Contact Information

Primary practice address
2500 Mowry Ave Ste 130 Fremont CA 94538-1605
Phone: (510) 790-1911
Fax: (510) 505-1960
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter 224900000X C52324 California

Profile Details

NPI number 1922863794
LBN Legal business name Shanley, Debra Joan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2024
Last updated Feb 20th, 2024 - about last year

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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