Long, Shannon Freshwater
Long, Shannon Freshwater is an sole proprietor health care provider with primary practice located at 6900 Alden Dr , Fe Warren Afb WY 82005-2945. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Long, Shannon Freshwater can be contacted via phone (307) 773-3435.Contact Information
Primary practice address
6900 Alden Dr
Fe Warren Afb WY 82005-2945
Phone: (307) 773-3435
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1588111090 |
|---|---|
| LBN Legal business name | Long, Shannon Freshwater |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2016 |
| Last updated | Oct 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588111090 | NPPES |
| Other | 1588111090 | NPI |
Popular Providers
-
Bast, Stephen D
3676 Parker Blvd , Pueblo CO 81008-2212 -
Thayer, Michael A
5501 N Portland Ave , Oklahoma City OK 73112-2074 -
Lawson, Haley Isham
6900 Alden Dr Bldg 160 , Fe Warren Afb WY 82005-3913 -
King, Stanley Thomas
205 Hospital Dr Ste A, Mc Kenzie TN 38201-1649 -
Knowles, Carol Donahue
3200 Northline Ave Ste 200, Greensboro NC 27408-7616 -
Urteaga, Javier
6900 Alden Dr Bldg 160 , Fe Warren Afb WY 82005-2945 -
Dunning, April D.
548 Lone Oak Rd , Paducah KY 42003-4538 -
Jordan, Dana L.
425 Hunton Rd , El Dorado KS 67042-3015