Fitzgerald, Shannon

Fitzgerald, Shannon is an individual health care provider with primary practice located at 7615 Golden Triangle Dr Ste A , Eden Prairie MN 55344-3733. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Fitzgerald, Shannon can be contacted via phone (612) 767-7222.

Contact Information

Primary practice address
7615 Golden Triangle Dr Ste A Eden Prairie MN 55344-3733
Phone: (612) 767-7222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1316583826
LBN Legal business name Fitzgerald, Shannon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2019
Last updated Aug 4th, 2022 - about 2 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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