Funkhouser, Shannon

Funkhouser, Shannon is an sole proprietor health care provider with primary practice located at 100 Brookhaven Dr , Glastonbury CT 06033-1806. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Funkhouser, Shannon can be contacted via phone (617) 571-2370.

Contact Information

Primary practice address
100 Brookhaven Dr Glastonbury CT 06033-1806
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X 637 Connecticut

Profile Details

NPI number 1043781487
LBN Legal business name Funkhouser, Shannon
Credentials ND
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2018
Last updated Dec 11th, 2018 - about 6 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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