Simpson, Shannon M

Simpson, Shannon M is an individual health care provider with primary practice located at 521 E Mountain View Ave , Ellensburg WA 98926-3865. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Simpson, Shannon M can be contacted via phone (509) 933-2400.

Contact Information

Primary practice address
521 E Mountain View Ave Ellensburg WA 98926-3865
Fax: (509) 933-4804
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH00007904 Washington

Profile Details

NPI number 1467950410
LBN Legal business name Simpson, Shannon M
Credentials DH
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2018
Last updated Sep 10th, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467950410 NPPES
Washington MEDICAID 2098075

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