Scheuren, Shannon Tara
Scheuren, Shannon Tara is an individual health care provider with primary practice located at 324 E Independence St , Shamokin PA 17872-6710. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Scheuren, Shannon Tara can be contacted via phone (570) 648-4747.Contact Information
Primary practice address
324 E Independence St
Shamokin PA 17872-6710
Phone: (570) 648-4747
Fax: (570) 648-3100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG000131 | Pennsylvania |
Profile Details
| NPI number | 1831118447 |
|---|---|
| LBN Legal business name | Scheuren, Shannon Tara |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Jun 15th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831118447 | NPPES |
| Pennsylvania | MEDICAID | 001760262 | |
| Pennsylvania | Other | 397037 | |
| Pennsylvania | Other | 636139 | |
| Pennsylvania | Other | 809208 |
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