White, Shanna Leigh

White, Shanna Leigh is an sole proprietor health care provider with primary practice located at 5045 Carpenter Creek Dr , Pensacola FL 32503-2521. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. White, Shanna Leigh can be contacted via phone (850) 377-7121.

Contact Information

Primary practice address
5045 Carpenter Creek Dr Pensacola FL 32503-2521
Fax: (888) 249-2325
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X

Profile Details

NPI number 1619220969
LBN Legal business name White, Shanna Leigh
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2012
Last updated Jan 31st, 2022 - about 2 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 1619220969 NPPES
Florida MEDICAID 101198100

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