Moore, Shannon Michelle

Moore, Shannon Michelle is an individual health care provider with primary practice located at 3275 Lake Shore Dr , Washoe Valley NV 89704-9249. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Moore, Shannon Michelle can be contacted via phone (775) 849-3434.

Contact Information

Primary practice address
3275 Lake Shore Dr Washoe Valley NV 89704-9249
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1730483462
LBN Legal business name Moore, Shannon Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2011
Last updated Apr 21st, 2011 - about 14 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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