Goldsberry, Shannon Sue

Goldsberry, Shannon Sue is an sole proprietor health care provider with primary practice located at 7010 27Th St W , University Place WA 98466-5215. She recently has only one registered license in Other Service Providers / Mechanotherapist, which is considered as her primary health care specialty. Goldsberry, Shannon Sue can be contacted via phone (253) 534-8102.

Contact Information

Primary practice address
7010 27Th St W University Place WA 98466-5215
Phone: (253) 534-8102
Fax: (253) 565-3346
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Mechanotherapist 172M00000X MA00010503 Washington

Profile Details

NPI number 1497917819
LBN Legal business name Goldsberry, Shannon Sue
Credentials L.M.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2008
Last updated Jun 26th, 2008 - about 16 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 1497917819 NPPES
Washington Other 0182749 WASHINGTON STATE DEPARTMENT OF LABOR AND INDUSTRIES

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