Aikens, Shannon
Aikens, Shannon is an individual health care provider with primary practice located at 11230 Waples Mill Rd Ste 100 , Fairfax VA 22030-6087. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Aikens, Shannon can be contacted via phone (703) 591-1146.Contact Information
Primary practice address
11230 Waples Mill Rd Ste 100
Fairfax VA 22030-6087
Phone: (703) 591-1146
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2204000312 | Virginia |
Profile Details
| NPI number | 1912554106 |
|---|---|
| LBN Legal business name | Aikens, Shannon |
| Credentials | CF-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2019 |
| Last updated | Aug 22nd, 2019 - about 6 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 | 1912554106 | NPPES |
| Virginia | MEDICAID | T69423466 |
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