Holt, Shannon

Holt, Shannon is an individual health care provider with primary practice located at 2418 Blue Ridge Rd Suite 100, Raleigh NC 27607-6480. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Holt, Shannon can be contacted via phone (919) 782-5954.

Contact Information

Primary practice address
2418 Blue Ridge Rd Suite 100 Raleigh NC 27607-6480
Phone: (919) 782-5954
Fax: (919) 859-9444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 3358 North Carolina

Profile Details

NPI number 1275503153
LBN Legal business name Holt, Shannon
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Jul 8th, 2007 - about 17 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 1275503153 NPPES
North Carolina Other 13729 BLUE CROSS BLUE SHIELD
North Carolina Other 5947795 BLUE CROSS BLUE SHIELD
North Carolina Other D9498 BLUE CROSS BLUE SHIELD

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