Smith, Shannon

Smith, Shannon is an sole proprietor health care provider with primary practice located at 128 Bridge St , Las Vegas NM 87701-3427. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Other Service Providers / Acupuncturist is her primary health care specialty. Smith, Shannon can be contacted via phone (505) 310-3239.

Contact Information

Primary practice address
128 Bridge St Las Vegas NM 87701-3427
Phone: (505) 310-3239
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 1098 New Mexico
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 0351 New Mexico

Profile Details

NPI number 1003241910
LBN Legal business name Smith, Shannon
Credentials D.O.M., L.AC., L.M.T
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2013
Last updated Sep 10th, 2013 - about 11 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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