Shannon, Martell Da'Shawn

Shannon, Martell Da'Shawn is an sole proprietor health care provider with primary practice located at 174 E 59Th St , Long Beach CA 90805-3468. He recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as his primary health care specialty. Shannon, Martell Da'Shawn can be contacted via phone (562) 841-7378.

Contact Information

Primary practice address
174 E 59Th St Long Beach CA 90805-3468
Phone: (562) 841-7378
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1295362267
LBN Legal business name Shannon, Martell Da'Shawn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2020
Last updated Mar 26th, 2020 - about 4 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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