Leahy, Shannon Brandell
Leahy, Shannon Brandell is an individual health care provider with primary practice located at 1500 Town Side Dr. Ste. 105, Apex NC 27502. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Leahy, Shannon Brandell can be contacted via phone (919) 363-4204.Contact Information
Primary practice address
1500 Town Side Dr. Ste. 105
Apex NC 27502
Phone: (919) 363-4204
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 7827 | North Carolina |
Profile Details
| NPI number | 1861538852 |
|---|---|
| LBN Legal business name | Leahy, Shannon Brandell |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861538852 | NPPES |
| North Carolina | MEDICAID | 5903125 |
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