Faxon, Shannon Rachel
Faxon, Shannon Rachel is an sole proprietor health care provider with primary practice located at 120 Mount Hunger Shore Rd , Windham ME 04062-5636. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Faxon, Shannon Rachel can be contacted via phone (207) 831-6704.Contact Information
Primary practice address
120 Mount Hunger Shore Rd
Windham ME 04062-5636
Phone: (207) 831-6704
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | RDH2965 | Maine |
Profile Details
| NPI number | 1013475060 |
|---|---|
| LBN Legal business name | Faxon, Shannon Rachel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2019 |
| Last updated | Mar 8th, 2019 - 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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