Caddell, Shannon Wayne

Caddell, Shannon Wayne is an individual health care provider with primary practice located at 181 Private Road 3454 , Paradise TX 76073-2447. He recently has only one registered license in Pharmacy Service Providers / Geriatric, which is considered as his primary health care specialty. Caddell, Shannon Wayne can be contacted via phone (682) 225-1975.

Contact Information

Primary practice address
181 Private Road 3454 Paradise TX 76073-2447
Phone: (682) 225-1975
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Geriatric 1835G0303X 37247 Texas

Profile Details

NPI number 1437742384
LBN Legal business name Caddell, Shannon Wayne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2021
Last updated Feb 11th, 2021 - about 3 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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