Hestor, Shannon Dawn

Hestor, Shannon Dawn is an individual health care provider with primary practice located at 660 S 11Th St , Indiana PA 17705. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Hestor, Shannon Dawn can be contacted via phone (717) 991-3283.

Contact Information

Primary practice address
660 S 11Th St Indiana PA 17705
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X RT007852 Pennsylvania

Profile Details

NPI number 1669101770
LBN Legal business name Hestor, Shannon Dawn
Credentials ATC, LAT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2022
Last updated Jun 7th, 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.

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