Conley, Shannon Dewayne

Conley, Shannon Dewayne is an individual health care provider with primary practice located at 700 S Penn Ave , Bartlesville OK 74003-3847. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Conley, Shannon Dewayne can be contacted via phone (918) 273-1841.

Contact Information

Primary practice address
700 S Penn Ave Bartlesville OK 74003-3847
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1093583460
LBN Legal business name Conley, Shannon Dewayne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2023
Last updated Dec 15th, 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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