Bennett, Shannon Ray

Bennett, Shannon Ray is an sole proprietor health care provider with primary practice located at 3444 Cumberland Falls Hwy , Corbin KY 40701-9056. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Bennett, Shannon Ray can be contacted via phone (606) 280-2550.

Contact Information

Primary practice address
3444 Cumberland Falls Hwy Corbin KY 40701-9056
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X Kentucky

Profile Details

NPI number 1851153431
LBN Legal business name Bennett, Shannon Ray
Credentials CPSS,CSA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2024
Last updated Jan 29th, 2024 - about last year

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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