Bon-Shannon, Adele C

Bon-Shannon, Adele C is an individual health care provider with primary practice located at 701 W Broad St Suite 201, Bethlehem PA 18018. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bon-Shannon, Adele C can be contacted via phone (610) 866-2744.

Contact Information

Primary practice address
701 W Broad St Suite 201 Bethlehem PA 18018
Phone: (610) 866-2744
Fax: (610) 282-3795
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW0012852 Pennsylvania

Profile Details

NPI number 1558306639
LBN Legal business name Bon-Shannon, Adele C
Credentials MSW LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558306639 NPPES
Pennsylvania Other 2318645000 INDEP BL CROSS
Pennsylvania Other 01996901 INDEP BL CROSS

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