Walkine, Shantell

Walkine, Shantell is an individual health care provider with primary practice located at 1407 Grand Club Blvd , Fort Pierce FL 34982-8134. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Walkine, Shantell can be contacted via phone (772) 249-6749.

Contact Information

Primary practice address
1407 Grand Club Blvd Fort Pierce FL 34982-8134
Phone: (772) 249-6749
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1558833145
LBN Legal business name Walkine, Shantell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2018
Last updated Dec 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558833145 NPPES
Florida MEDICAID 025014000

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