Dingle, Shannon R

Dingle, Shannon R is an sole proprietor health care provider with primary practice located at 5676 Riverdale Ave Ste 202 , Bronx NY 10471-2100. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Dingle, Shannon R can be contacted via phone (718) 796-5300.

Contact Information

Primary practice address
5676 Riverdale Ave Ste 202 Bronx NY 10471-2100
Phone: (718) 796-5300
Fax: (718) 548-1161
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 616798 New York

Profile Details

NPI number 1982157137
LBN Legal business name Dingle, Shannon R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2016
Last updated Mar 17th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982157137 NPPES
New York Other 402317 NURSE PRACTITIONER LICENSE

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