Charles, Shannon

Charles, Shannon is an individual health care provider with primary practice located at 40 Greenhouse Ln Rt 321 Auxier Road, Prestonsburg KY 41653-9180. He recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as his primary health care specialty. Charles, Shannon can be contacted via phone (606) 886-6815.

Contact Information

Primary practice address
40 Greenhouse Ln Rt 321 Auxier Road Prestonsburg KY 41653-9180
Phone: (606) 886-6815
Fax: (606) 886-9878
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1164601886
LBN Legal business name Charles, Shannon
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2007
Last updated Oct 30th, 2007 - about 17 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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