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Contact Information

SHATERICA RAINEY
9403 MANSFIELD RD
SHREVEPORT, LA71118
 Phone: 318-861-8938
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for SHATERICA RAINEY · (Female)

NPI # 1326580218
Status Active
Credentials
Entity Individual
Enumeration date 11/09/2016
Last updated 11/09/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • LA Medicaid 010354208
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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