Fontaine, Shannon Lyn

Fontaine, Shannon Lyn is an individual health care provider with primary practice located at 500 Cummings Ctr Suite 3850, Beverly MA 01915-6142. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Fontaine, Shannon Lyn can be contacted via phone (978) 232-0332.

Contact Information

Primary practice address
500 Cummings Ctr Suite 3850 Beverly MA 01915-6142
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 8341 Massachusetts

Profile Details

NPI number 1437368206
LBN Legal business name Fontaine, Shannon Lyn
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Jul 2nd, 2008 - about 17 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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