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
Phone: (617) 571-2370
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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