1336903855 NPI number — MS. SHANTRINA LASHONA ENGLISH LMT

Table of content: MS. SHANTRINA LASHONA ENGLISH LMT (NPI 1336903855)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336903855 NPI number — MS. SHANTRINA LASHONA ENGLISH LMT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ENGLISH
Provider First Name:
SHANTRINA
Provider Middle Name:
LASHONA
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LMT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1336903855
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/07/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3228 UNIVERSITY AVE.
Provider Second Line Business Mailing Address:
STE. 105-106
Provider Business Mailing Address City Name:
COLUMBUS
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31907
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
706-992-6866
Provider Business Mailing Address Fax Number:
706-992-6867

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3228 UNIVERSITY AVE.
Provider Second Line Business Practice Location Address:
STE. 105-106
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31907
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-992-6866
Provider Business Practice Location Address Fax Number:
706-992-6867
Provider Enumeration Date:
02/07/2024

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225700000X , with the licence number:  MT013946 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com