Petersen, Shannon
Petersen, Shannon is an sole proprietor health care provider with primary practice located at 7983 Nw 35Th Ct , Coral Springs FL 33065-3015. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Petersen, Shannon can be contacted via phone (954) 630-6879.Contact Information
Primary practice address
7983 Nw 35Th Ct
Coral Springs FL 33065-3015
Phone: (954) 630-6879
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | 234500 | Florida |
Profile Details
| NPI number | 1376099077 |
|---|---|
| LBN Legal business name | Petersen, Shannon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2016 |
| Last updated | Sep 1st, 2016 - about 9 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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