Beaton, Shannon
Beaton, Shannon is an individual health care provider with primary practice located at 655 Westfield Ave , Elizabeth NJ 07208-1325. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Beaton, Shannon can be contacted via phone (908) 352-8858.Contact Information
Primary practice address
655 Westfield Ave
Elizabeth NJ 07208-1325
Phone: (908) 352-8858
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1063922037 |
|---|---|
| LBN Legal business name | Beaton, Shannon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2017 |
| Last updated | Oct 4th, 2017 - about 8 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 | 1063922037 | NPPES |
| New Jersey | MEDICAID | 221487364 |
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