Breault, Shannon
Breault, Shannon is an individual health care provider with primary practice located at 401 Cypress St , Manchester NH 03103-3628. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Breault, Shannon can be contacted via phone (603) 668-4111.Contact Information
Primary practice address
401 Cypress St
Manchester NH 03103-3628
Phone: (603) 668-4111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1982767026 |
|---|---|
| LBN Legal business name | Breault, Shannon |
| Credentials | Bachelor of Arts (BA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Mar 20th, 2009 - about 15 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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