Desilets, Shannon Marie
Desilets, Shannon Marie is an sole proprietor health care provider with primary practice located at 184 Mammoth Rd , Londonderry NH 03053-3254. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Desilets, Shannon Marie can be contacted via phone (603) 434-8300.Contact Information
Primary practice address
184 Mammoth Rd
Londonderry NH 03053-3254
Phone: (603) 434-8300
Fax: (603) 965-1057
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2387 | New Hampshire |
Profile Details
| NPI number | 1013136027 |
|---|---|
| LBN Legal business name | Desilets, Shannon Marie |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013136027 | NPPES |
| New Hampshire | Other | 08Y003331NH03 | ANTHEM |
| New Hampshire | Other | 8933036 | ANTHEM |
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