Moshure, Shanna Lea

Moshure, Shanna Lea is an individual health care provider with primary practice located at 2001 S Shields St Ste 101 , Fort Collins CO 80526-1827. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Moshure, Shanna Lea can be contacted via phone (970) 493-5334.

Contact Information

Primary practice address
2001 S Shields St Ste 101 Fort Collins CO 80526-1827
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AUD.0000844 Colorado

Profile Details

NPI number 1265755649
LBN Legal business name Moshure, Shanna Lea
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2010
Last updated Nov 29th, 2021 - about 3 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 1265755649 NPPES
Missouri MEDICAID 330080487

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