Campbell, Shannon

Campbell, Shannon is an individual health care provider with primary practice located at 313 Tudor Ln , Middle Island NY 11953-1366. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Campbell, Shannon can be contacted via phone (631) 827-5662.

Contact Information

Primary practice address
313 Tudor Ln Middle Island NY 11953-1366
Phone: (631) 827-5662
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1124894738
LBN Legal business name Campbell, Shannon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2023
Last updated Nov 27th, 2023 - about 2 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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