Bares, Shannon Elizabeth

Bares, Shannon Elizabeth is an individual health care provider with primary practice located at 303 Stagecoach Rd , Gallup NM 87301-6779. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Renal. Dietary & Nutritional Service Providers / Nutrition, Renal is her primary health care specialty. Bares, Shannon Elizabeth can be contacted via phone (414) 403-0501.

Contact Information

Primary practice address
303 Stagecoach Rd Gallup NM 87301-6779
Phone: (414) 403-0501
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD-1261 New Mexico
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X D-1419 Idaho
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 461 Wyoming
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X 954764

Profile Details

NPI number 1588360937
LBN Legal business name Bares, Shannon Elizabeth
Credentials RD, CSR, LD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2023
Last updated Feb 6th, 2023 - about 2 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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