Shasha, Regina Marie
Shasha, Regina Marie is an individual health care provider with primary practice located at 734 W 47Th St , Chicago IL 60609-4411. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Shasha, Regina Marie can be contacted via phone (773) 537-3161.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 277000129 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 277000129 | Illinois |
Profile Details
NPI number | 1508993031 |
---|---|
LBN Legal business name | Shasha, Regina Marie |
Credentials | Advanced Practice Nurse (APN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 28th, 2007 |
Last updated | Mar 15th, 2021 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1508993031 | NPPES |
Illinois | Other | 209000848 | LICENSE |
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