Shaw, Roland Deshawn

Shaw, Roland Deshawn is an individual health care provider with primary practice located at 414 W 99Th St , Los Angeles CA 90003-3919. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Shaw, Roland Deshawn can be contacted via phone (323) 777-5016.

Contact Information

Primary practice address
414 W 99Th St Los Angeles CA 90003-3919
Fax: (323) 777-2016
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1306828710
LBN Legal business name Shaw, Roland Deshawn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2005
Last updated Jul 8th, 2007 - about 17 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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