Theus, Shaederrica
Theus, Shaederrica is an sole proprietor health care provider with primary practice located at 8640 Cove Meadow Ln , Ft Worth TX 76123-2330. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Theus, Shaederrica can be contacted via phone (318) 762-1281.Contact Information
Primary practice address
8640 Cove Meadow Ln
Ft Worth TX 76123-2330
Phone: (318) 762-1281
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Nurse's Aide | 376K00000X | Texas |
Profile Details
| NPI number | 1053814053 |
|---|---|
| LBN Legal business name | Theus, Shaederrica |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2018 |
| Last updated | Mar 15th, 2018 - about 6 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 | 1053814053 | NPPES |
| Texas | Other | 081112616 | DBA |
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