Banner, Shawn
Banner, Shawn is an sole proprietor health care provider with primary practice located at 165 Carol Susan Ln , Fort Pierce FL 34982-8340. He recently has only one registered license in Agencies / Home Health, which is considered as his primary health care specialty. Banner, Shawn can be contacted via phone (772) 206-5815.Contact Information
Primary practice address
165 Carol Susan Ln
Fort Pierce FL 34982-8340
Phone: (772) 206-5815
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X |
Profile Details
| NPI number | 1225791908 |
|---|---|
| LBN Legal business name | Banner, Shawn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2021 |
| Last updated | Oct 19th, 2021 - about 4 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 | 1225791908 | NPPES |
| Florida | Other | 825501824 | HOME CARE |
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