Ayers, Shannon Rena
Ayers, Shannon Rena is an individual health care provider with primary practice located at 450 E. Loop 281 Suite B1, Longview TX 75601. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Ayers, Shannon Rena can be contacted via phone (903) 757-7731.Contact Information
Primary practice address
450 E. Loop 281 Suite B1
Longview TX 75601
Phone: (903) 757-7731
Fax: (903) 757-3756
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 1228752 | Texas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 3537 | Arkansas |
Profile Details
| NPI number | 1740613835 |
|---|---|
| LBN Legal business name | Ayers, Shannon Rena |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2013 |
| Last updated | Jul 25th, 2018 - 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 | 1740613835 | NPPES |
| Arkansas | MEDICAID | 194886721 |
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