Fishback, Shannon

Fishback, Shannon is an individual health care provider with primary practice located at 401 E Cypress Ave , Lompoc CA 93436-6806. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Fishback, Shannon can be contacted via phone (805) 865-1940.

Contact Information

Primary practice address
401 E Cypress Ave Lompoc CA 93436-6806
Phone: (805) 865-1940
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 771816 California

Profile Details

NPI number 1316364946
LBN Legal business name Fishback, Shannon
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2014
Last updated Mar 20th, 2014 - about 11 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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