Shannon, Gina

Shannon, Gina is an sole proprietor health care provider with primary practice located at 42 Mallard Ave , Selden NY 11784-1752. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Shannon, Gina can be contacted via phone (631) 451-1781.

Contact Information

Primary practice address
42 Mallard Ave Selden NY 11784-1752
Phone: (631) 451-1781
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 288813 New York

Profile Details

NPI number 1568610079
LBN Legal business name Shannon, Gina
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2008
Last updated Sep 9th, 2008 - about 16 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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