Goins-Blair, Shannon
Goins-Blair, Shannon is an sole proprietor health care provider with primary practice located at 2620 San Mateo Blvd Ne Ste E , Albuquerque NM 87110-3163. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Goins-Blair, Shannon can be contacted via phone (505) 554-1855.Contact Information
Primary practice address
2620 San Mateo Blvd Ne Ste E
Albuquerque NM 87110-3163
Phone: (505) 554-1855
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other | 246Z00000X | CLT | |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 8941 | New Mexico |
Profile Details
| NPI number | 1841714292 |
|---|---|
| LBN Legal business name | Goins-Blair, Shannon |
| Credentials | CLT-LANA, LMT, MA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2017 |
| Last updated | Aug 26th, 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 | 1841714292 | NPPES |
| Other | CLT | KLOSE TRAINING - CERTIFIED LYMPHEDEMA THERAPIST | |
| Other | LANA | KLOSE TRAINING - CERTIFIED LYMPHEDEMA THERAPIST | |
| Other | 8941 | KLOSE TRAINING - CERTIFIED LYMPHEDEMA THERAPIST |
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