Hancock, Shannon

Hancock, Shannon is an sole proprietor health care provider with primary practice located at 1327 E Duryea Ave , Peoria Heights IL 61616-6433. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Hancock, Shannon can be contacted via phone (309) 686-6786.

Contact Information

Primary practice address
1327 E Duryea Ave Peoria Heights IL 61616-6433
Phone: (309) 686-6786
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1386162295
LBN Legal business name Hancock, Shannon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2017
Last updated Jul 21st, 2022 - about 2 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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