Mcintyre, Shanon Mary

Mcintyre, Shanon Mary is an sole proprietor health care provider with primary practice located at 640 Grand Ave , Grand Junction CO 81501-2738. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Mcintyre, Shanon Mary can be contacted via phone (561) 262-9124.

Contact Information

Primary practice address
640 Grand Ave Grand Junction CO 81501-2738
Phone: (561) 262-9124
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 12121711 Florida

Profile Details

NPI number 1912127366
LBN Legal business name Mcintyre, Shanon Mary
Credentials MS CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2007
Last updated Oct 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912127366 NPPES
Colorado MEDICAID 40608875
Colorado MEDICAID 890870200

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