Gibbons, Shannon R

Gibbons, Shannon R is an individual health care provider with primary practice located at 27 Hartford Turnpike Rt#83, Vernon CT 06066. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter is her primary health care specialty. Gibbons, Shannon R can be contacted via phone (860) 646-7900.

Contact Information

Primary practice address
27 Hartford Turnpike Rt#83 Vernon CT 06066
Phone: (860) 646-7900
Fax: (860) 646-7792
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 000356 Connecticut

Profile Details

NPI number 1225111602
LBN Legal business name Gibbons, Shannon R
Credentials MA, FAAA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Mar 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225111602 NPPES
Connecticut Other D400031083 MEDICARE

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