Bennett, Shannon Marie

Bennett, Shannon Marie is an individual health care provider with primary practice located at 132 Linden St , Rockville Centre NY 11570-2534. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Bennett, Shannon Marie can be contacted via phone (646) 341-2815.

Contact Information

Primary practice address
132 Linden St Rockville Centre NY 11570-2534
Phone: (646) 341-2815
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1245902493
LBN Legal business name Bennett, Shannon Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2021
Last updated Feb 1st, 2022 - 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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