Fruge, Shannon
Fruge, Shannon is an individual health care provider with primary practice located at 4600 River Rd , Marrero LA 70072-1943. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Fruge, Shannon can be contacted via phone (337) 654-7404.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3290 | Louisiana |
Profile Details
| NPI number | 1336275262 |
|---|---|
| LBN Legal business name | Fruge, Shannon |
| Credentials | M.C.D., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Jan 10th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336275262 | NPPES |
| Louisiana | MEDICAID | 1701033 |
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