Shattuck, Jeanette Louise
Shattuck, Jeanette Louise is an individual health care provider with primary practice located at 4772 Katella Ave Ste 100 , Los Alamitos CA 90720-2681. She recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Ergonomics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter is her primary health care specialty. Shattuck, Jeanette Louise can be contacted via phone (562) 430-8700.Contact Information
Primary practice address
4772 Katella Ave Ste 100
Los Alamitos CA 90720-2681
Phone: (562) 430-8700
Fax: (562) 430-8760
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter | 225000000X | AA358119 | California |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | AA358119 | California |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Ergonomics | 225XE1200X | AA358119 | California |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | AA358119 | California |
Profile Details
| NPI number | 1003948928 |
|---|---|
| LBN Legal business name | Shattuck, Jeanette Louise |
| Credentials | OTR L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1003948928 | NPPES |
| California | Other | 5481969 | FIRST HEALTH ID |
| California | Other | OT0048180 | FIRST HEALTH ID |
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