Proctor, Shannon

Proctor, Shannon is an individual health care provider with primary practice located at 115 Parkside Dr , Colorado Springs CO 80910-3130. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Proctor, Shannon can be contacted via phone (719) 572-6340.

Contact Information

Primary practice address
115 Parkside Dr Colorado Springs CO 80910-3130
Phone: (719) 572-6340
Fax: (719) 447-4791
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 163680 Colorado

Profile Details

NPI number 1881708618
LBN Legal business name Proctor, Shannon
Credentials RN, LAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Jul 8th, 2007 - about 18 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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