Bramlette, Shannon Blevins

Bramlette, Shannon Blevins is an individual health care provider with primary practice located at 156 S. Dossett Drive Lamb Hall, Room 363, Johnson City TN 37614. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Bramlette, Shannon Blevins can be contacted via phone (423) 439-4355.

Contact Information

Primary practice address
156 S. Dossett Drive Lamb Hall, Room 363 Johnson City TN 37614
Phone: (423) 439-4355
Fax: (423) 439-4607
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 220100647 Virginia
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 2101001206 Virginia
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 1696 Tennessee

Profile Details

NPI number 1316906647
LBN Legal business name Bramlette, Shannon Blevins
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jan 16th, 2024 - about 11 months 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 1316906647 NPPES
Tennessee MEDICAID Q004368
Tennessee MEDICAID 1316906647
Tennessee MEDICAID 009105468
Tennessee MEDICAID 009460882

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