Warren, Shauntavia

Warren, Shauntavia is an sole proprietor health care provider with primary practice located at 813 18Th Ave Se Apt 402 , Minot ND 58701-6746. She recently has only one registered license in Emergency Medical Service Providers / Personal Emergency Response Attendant, which is considered as her primary health care specialty. Warren, Shauntavia can be contacted via phone (701) 818-5658.

Contact Information

Primary practice address
813 18Th Ave Se Apt 402 Minot ND 58701-6746
Fax:
Website:

Health care specialties

Profile Details

NPI number 1518619881
LBN Legal business name Warren, Shauntavia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2022
Last updated Jan 19th, 2022 - about 3 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 1518619881 NPPES
North Dakota MEDICAID 0000000000

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