Shivers, Juliette
Shivers, Juliette is an sole proprietor health care provider with primary practice located at 219 E Gregg St , Shreveport LA 71104-5158. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as her primary health care specialty. Shivers, Juliette can be contacted via phone (318) 572-6157.Contact Information
Primary practice address
219 E Gregg St
Shreveport LA 71104-5158
Phone: (318) 572-6157
Fax: (800) 708-7349
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X |
Profile Details
| NPI number | 1669414801 |
|---|---|
| LBN Legal business name | Shivers, Juliette |
| Credentials | NUTRION PROFESSIONAL |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Mar 18th, 2024 - about 9 months 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 | 1669414801 | NPPES |
| Michigan | Other | 0P21130 | MEDICARE PART B PROVIDER |
| Michigan | Other | 00696F | MEDICARE PART B PROVIDER |
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