Bennett, Shannon
Bennett, Shannon is an individual health care provider with primary practice located at 8270 Willow Oaks Corporate Dr , Fairfax VA 22031-4530. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Bennett, Shannon can be contacted via phone (703) 715-4745.Contact Information
Primary practice address
8270 Willow Oaks Corporate Dr
Fairfax VA 22031-4530
Phone: (703) 715-4745
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | PROV-0655645 | Virginia |
Profile Details
| NPI number | 1669157236 |
|---|---|
| LBN Legal business name | Bennett, Shannon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2023 |
| Last updated | Jun 20th, 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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