Mcpherson, Shannon

Mcpherson, Shannon is an individual health care provider with primary practice located at 380 Suwannee Trail St , Bowling Green KY 42103-7956. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Mcpherson, Shannon can be contacted via phone (270) 901-5000.

Contact Information

Primary practice address
380 Suwannee Trail St Bowling Green KY 42103-7956
Fax: (270) 842-5268
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1407255466
LBN Legal business name Mcpherson, Shannon
Credentials Bachelor of Health Science (BHS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2014
Last updated Apr 27th, 2018 - about 7 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 1407255466 NPPES
Kentucky MEDICAID 30604011

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