Clark, Shannon L
Clark, Shannon L is an individual health care provider with primary practice located at 1117 Rio Rancho Dr Se Ste 6G , Rio Rancho NM 87124-1859. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Clark, Shannon L can be contacted via phone (505) 891-1414.Contact Information
Primary practice address
1117 Rio Rancho Dr Se Ste 6G
Rio Rancho NM 87124-1859
Phone: (505) 891-1414
Fax: (505) 891-1444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 6379 | New Mexico |
Profile Details
| NPI number | 1316240401 |
|---|---|
| LBN Legal business name | Clark, Shannon L |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 10th, 2010 |
| Last updated | Dec 10th, 2010 - about 14 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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