Larson, Shannon Marie
Larson, Shannon Marie is an sole proprietor health care provider with primary practice located at 119 S State St , Shelby MI 49455-1243. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Larson, Shannon Marie can be contacted via phone (231) 861-2130.Contact Information
Primary practice address
119 S State St
Shelby MI 49455-1243
Phone: (231) 861-2130
Fax: (231) 861-4964
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 2902012812 | Michigan |
Profile Details
| NPI number | 1558751180 |
|---|---|
| LBN Legal business name | Larson, Shannon Marie |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 3rd, 2015 |
| Last updated | Feb 3rd, 2015 - about 10 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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