Paxson, Shanon Elizabeth

Paxson, Shanon Elizabeth is an sole proprietor health care provider with primary practice located at 25322 S 603 Rd , Grove OK 74344. She recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Transportation Services / Private Vehicle. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is her primary health care specialty. Paxson, Shanon Elizabeth can be contacted via phone (918) 787-4368.

Contact Information

Primary practice address
25322 S 603 Rd Grove OK 74344
Phone: (918) 787-4368
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 1000670490A Oklahoma
Transportation Services / Private Vehicle 347C00000X 1000670490C Oklahoma

Profile Details

NPI number 1376740019
LBN Legal business name Paxson, Shanon Elizabeth
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2007
Last updated Jul 8th, 2007 - about 17 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 1376740019 NPPES
Oklahoma Other 1000670490C OHCA
Oklahoma Other 1000670490A OHCA

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