Gregory, Shannon Renee
Gregory, Shannon Renee is an sole proprietor health care provider with primary practice located at 4725 W South Mountain Ave , Laveen AZ 85339. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Gregory, Shannon Renee can be contacted via phone (602) 237-7040.Contact Information
Primary practice address
4725 W South Mountain Ave
Laveen AZ 85339
Phone: (602) 237-7040
Fax: (602) 237-3376
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 101YS0200X | 4057121 | Arizona |
Profile Details
| NPI number | 1356589402 |
|---|---|
| LBN Legal business name | Gregory, Shannon Renee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 28th, 2009 |
| Last updated | Jan 28th, 2009 - about 15 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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