Watson, Shineder

Watson, Shineder is an individual health care provider with primary practice located at 4713 Parkhaven Dr , Garland TX 75043-7577. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Watson, Shineder can be contacted via phone (972) 240-5628.

Contact Information

Primary practice address
4713 Parkhaven Dr Garland TX 75043-7577
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1578034120
LBN Legal business name Watson, Shineder
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2018
Last updated Dec 7th, 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 1578034120 NPPES
Texas MEDICAID 44128910

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