King, Shannon

King, Shannon is an sole proprietor health care provider with primary practice located at 363 Route 111 Suite Ll8, Smithtown NY 11787-4756. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Mechanotherapist, Other Service Providers / Acupuncturist. Other Service Providers / Acupuncturist is her primary health care specialty. King, Shannon can be contacted via phone (631) 257-5757.

Contact Information

Primary practice address
363 Route 111 Suite Ll8 Smithtown NY 11787-4756
Phone: (631) 257-5757
Fax: (631) 419-8057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Mechanotherapist 172M00000X 025155-1 New York
Other Service Providers / Acupuncturist 171100000X 005430 New York

Profile Details

NPI number 1538431275
LBN Legal business name King, Shannon
Credentials LAC, LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2012
Last updated Aug 3rd, 2015 - about 9 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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