Mayette, Shannon Marie
Mayette, Shannon Marie is an individual health care provider with primary practice located at 4 Commerce Lane , Canton NY 13617-3739. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Mayette, Shannon Marie can be contacted via phone (315) 386-8191.Contact Information
Primary practice address
4 Commerce Lane
Canton NY 13617-3739
Phone: (315) 386-8191
Fax: (315) 386-1410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 026979 | New York |
Profile Details
| NPI number | 1881948966 |
|---|---|
| LBN Legal business name | Mayette, Shannon Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 29th, 2012 |
| Last updated | Oct 29th, 2012 - about 13 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 | 1881948966 | NPPES |
| New York | MEDICAID | 01995615 |
Popular Providers
-
Hammill, Suzanne
80 State Highway 310 Suite 2, Canton NY 13617-1436 -
Philbrick, Abby K
4 Commerce Ln , Canton NY 13617-3739 -
Weston, Maria Lynn
4 Commerce Ln United Cerebral Palsey Of The North Country, Canton NY 13617 -
Gomes, Lauren
4 Commerce Ln , Canton NY 13617-3739 -
Guiles, Jill
4 Commerce Ln , Canton NY 13617-3739 -
Leclair, Shannon
4 Commerce Ln , Canton NY 13617-3739 -
Caracciolo, Keri E.
4 Commerce Ln , Canton NY 13617-3739 -
Poste, Danielle E
4 Commerce Lane , Canton NY 13617