Shannon, Brooke

Shannon, Brooke is an sole proprietor health care provider with primary practice located at 8800 Kingsridge Dr , Dayton OH 45458-1616. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Shannon, Brooke can be contacted via phone (937) 436-3472.

Contact Information

Primary practice address
8800 Kingsridge Dr Dayton OH 45458-1616
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X Ohio

Profile Details

NPI number 1689371114
LBN Legal business name Shannon, Brooke
Credentials LDO
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2023
Last updated Feb 15th, 2023 - about last year

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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