Shannon, Timothy M.
Shannon, Timothy M. is an individual health care provider with primary practice located at 4801 S Congress Ave Suite 301, Lake Worth FL 33461-4746. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Shannon, Timothy M. can be contacted via phone (561) 967-6500.Contact Information
Primary practice address
4801 S Congress Ave Suite 301
Lake Worth FL 33461-4746
Phone: (561) 967-6500
Fax: (561) 963-5600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | PT 19887 | Florida |
Profile Details
| NPI number | 1801832597 |
|---|---|
| LBN Legal business name | Shannon, Timothy M. |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| 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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