Foster, Shannon N

Foster, Shannon N is an sole proprietor health care provider with primary practice located at 10668 Lydia Ln , Danville AR 72833-6890. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Foster, Shannon N can be contacted via phone (479) 495-9982.

Contact Information

Primary practice address
10668 Lydia Ln Danville AR 72833-6890
Phone: (479) 495-9982
Fax: (479) 495-2622
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OTR1819 Arkansas

Profile Details

NPI number 1831444900
LBN Legal business name Foster, Shannon N
Credentials OTRL
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2012
Last updated Jul 16th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831444900 NPPES
Arkansas Other 1064557 NBCOT CERT
Arkansas Other OTR1819 NBCOT CERT

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