Smallwood, Shonta
Smallwood, Shonta is an individual health care provider with primary practice located at 2772 Martin Luther King Blvd , Fresno CA 93706-5345. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Smallwood, Shonta can be contacted via phone (559) 265-4800.Contact Information
Primary practice address
2772 Martin Luther King Blvd
Fresno CA 93706-5345
Phone: (559) 265-4800
Fax: (559) 265-4823
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1487820056 |
|---|---|
| LBN Legal business name | Smallwood, Shonta |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2008 |
| Last updated | May 5th, 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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