Faeth, Shannon

Faeth, Shannon is an individual health care provider with primary practice located at 2701 17Th St , Rock Island IL 61201-5351. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Faeth, Shannon can be contacted via phone (309) 779-2031.

Contact Information

Primary practice address
2701 17Th St Rock Island IL 61201-5351
Phone: (309) 779-2031
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 041465792 Illinois

Profile Details

NPI number 1275029175
LBN Legal business name Faeth, Shannon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2018
Last updated Jul 3rd, 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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