Ditzel, Shannon

Ditzel, Shannon is an sole proprietor health care provider with primary practice located at 1350 Blair Dr , Odenton MD 21113-1333. 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. Ditzel, Shannon can be contacted via phone (443) 871-4351.

Contact Information

Primary practice address
1350 Blair Dr Odenton MD 21113-1333
Phone: (443) 871-4351
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X M05159 Maryland

Profile Details

NPI number 1902484637
LBN Legal business name Ditzel, Shannon
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2021
Last updated Apr 1st, 2021 - about 4 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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