Burdick, Shannon Marie
Burdick, Shannon Marie is an individual health care provider with primary practice located at 2825 Sw East Louise Cir , Port St Lucie FL 34953-4273. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Burdick, Shannon Marie can be contacted via phone (772) 871-6585.Contact Information
Primary practice address
2825 Sw East Louise Cir
Port St Lucie FL 34953-4273
Phone: (772) 871-6585
Fax: (561) 422-8595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 4840 | Connecticut |
Profile Details
| NPI number | 1245489152 |
|---|---|
| LBN Legal business name | Burdick, Shannon Marie |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2008 |
| Last updated | Sep 16th, 2008 - about 16 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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