Miller, Shannon Kelly
Miller, Shannon Kelly is an individual health care provider with primary practice located at 1204 Hwy 164 E , Oquawka IL 61469. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Miller, Shannon Kelly can be contacted via phone (309) 867-2770.Contact Information
Primary practice address
1204 Hwy 164 E
Oquawka IL 61469
Phone: (309) 867-2770
Fax: (309) 867-3205
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 020.011534 | Illinois |
Profile Details
| NPI number | 1841801099 |
|---|---|
| LBN Legal business name | Miller, Shannon Kelly |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2020 |
| Last updated | Aug 12th, 2020 - about 5 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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