Anderson Iii, Shannon Richard

Anderson Iii, Shannon Richard is an sole proprietor health care provider with primary practice located at 2107 Mill Avenue , Bellingham WA 98225. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Anderson Iii, Shannon Richard can be contacted via phone (914) 703-2189.

Contact Information

Primary practice address
2107 Mill Avenue Bellingham WA 98225
Phone: (914) 703-2189
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA60124184 Washington

Profile Details

NPI number 1255634929
LBN Legal business name Anderson Iii, Shannon Richard
Credentials L.M.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2010
Last updated Jan 10th, 2011 - about 14 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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