Shaneva Arthur
Individual provider Active NPI Driver · Detroit, MI
NPI 1871964288 · NPPES record last updated Oct 12, 2015
Key facts
- NPI
- 1871964288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 19939 Bradford St
Detroit, MI 48205-1608 - Phone
- (734) 686-0356
- NPI assigned
- Oct 12, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
19939 Bradford St
Detroit, MI 48205-1608
Mailing address
19939 Bradford St
Detroit, MI 48205-1608
Phone (734) 686-0356
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.