Wiley, Shuntal L
Wiley, Shuntal L is an individual health care provider with primary practice located at 3708 Carl White Pl , Chattanooga TN 37410-1267. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Wiley, Shuntal L can be contacted via phone (423) 488-6962.Contact Information
Primary practice address
3708 Carl White Pl
Chattanooga TN 37410-1267
Phone: (423) 488-6962
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X |
Profile Details
| NPI number | 1760191936 |
|---|---|
| LBN Legal business name | Wiley, Shuntal L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2022 |
| Last updated | Nov 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760191936 | NPPES |
| Tennessee | MEDICAID | 87-3188433 |
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