Boykin, Shannon K
Boykin, Shannon K is an individual health care provider with primary practice located at 2228 Starling St , Brunswick GA 31520-4200. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Boykin, Shannon K can be contacted via phone (912) 264-3141.Contact Information
Primary practice address
2228 Starling St
Brunswick GA 31520-4200
Phone: (912) 264-3141
Fax: (912) 264-6190
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP003994 | Georgia |
Profile Details
| NPI number | 1558510024 |
|---|---|
| LBN Legal business name | Boykin, Shannon K |
| Credentials | CCC/SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2008 |
| Last updated | Sep 9th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558510024 | NPPES |
| Georgia | MEDICAID | 000813667B |
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