Aiken, Shannon Nicole

Aiken, Shannon Nicole is an sole proprietor health care provider with primary practice located at 442 Professional Park Rd , Clinton SC 29325-7626. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Aiken, Shannon Nicole can be contacted via phone (864) 938-0912.

Contact Information

Primary practice address
442 Professional Park Rd Clinton SC 29325-7626
Phone: (864) 938-0912
Fax: (864) 938-0926
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1588822704
LBN Legal business name Aiken, Shannon Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2008
Last updated Jul 20th, 2012 - about 13 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 1588822704 NPPES
South Carolina MEDICAID 301100

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