Shawcover, Jasmine

Shawcover, Jasmine is an individual health care provider with primary practice located at 1480 W Edgehill Rd , San Bernardino CA 92405-5105. She recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as her primary health care specialty. Shawcover, Jasmine can be contacted via phone (909) 889-4987.

Contact Information

Primary practice address
1480 W Edgehill Rd San Bernardino CA 92405-5105
Phone: (909) 889-4987
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X 33610 California

Profile Details

NPI number 1811172703
LBN Legal business name Shawcover, Jasmine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2008
Last updated Jan 9th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811172703 NPPES
California MEDICAID 1124100383

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