Cornwell, Shannon

Cornwell, Shannon is an sole proprietor health care provider with primary practice located at 1028 Kinoole St Ste 103 , Hilo HI 96720-3800. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Mechanotherapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Cornwell, Shannon can be contacted via phone (808) 557-5433.

Contact Information

Primary practice address
1028 Kinoole St Ste 103 Hilo HI 96720-3800
Phone: (808) 557-5433
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Mechanotherapist 172M00000X MAT 9172 Hawaii
Other Service Providers / Mechanotherapist 172M00000X MA 00021877 Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MHC 281 Hawaii

Profile Details

NPI number 1477700367
LBN Legal business name Cornwell, Shannon
Credentials M.A., LMT, LMP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2008
Last updated May 28th, 2015 - about 10 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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