Shannon, Brian M
Shannon, Brian M is an sole proprietor health care provider with primary practice located at 260 Godwin Ave Suite 1, Wyckoff NJ 07481-5200. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Shannon, Brian M can be contacted via phone (201) 891-1155.Contact Information
Primary practice address
260 Godwin Ave Suite 1
Wyckoff NJ 07481-5200
Phone: (201) 891-1155
Fax: (201) 891-5522
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | 38MC00412700 | New Jersey |
Profile Details
NPI number | 1942352877 |
---|---|
LBN Legal business name | Shannon, Brian M |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 18th, 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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