Gaydeski, Shannon
Gaydeski, Shannon is an individual health care provider with primary practice located at 310 New Bridge St , Jacksonville NC 28540-4756. She recently has only one registered license in Other Service Providers / Lactation Consultant, Non-RN, which is considered as her primary health care specialty. Gaydeski, Shannon can be contacted via phone (910) 621-4266.Contact Information
Primary practice address
310 New Bridge St
Jacksonville NC 28540-4756
Phone: (910) 621-4266
Fax: (910) 613-0382
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Lactation Consultant, Non-RN | 174N00000X | L-107778 |
Profile Details
| NPI number | 1295329332 |
|---|---|
| LBN Legal business name | Gaydeski, Shannon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2021 |
| Last updated | Mar 1st, 2021 - 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 | 1295329332 | NPPES |
| Other | 00000000 | N/A |
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