Smith, Shannon Lara
Smith, Shannon Lara is an individual health care provider with primary practice located at 3200 Adeline Street , Berkeley CA 94703-3501. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Smith, Shannon Lara can be contacted via phone (415) 859-6264.Contact Information
Primary practice address
3200 Adeline Street
Berkeley CA 94703-3501
Phone: (415) 859-6264
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1336329564 |
|---|---|
| LBN Legal business name | Smith, Shannon Lara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 5th, 2007 |
| Last updated | Jul 31st, 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.
Popular Providers
-
Dosa, Elisabeth Anne
3282 Adeline Street , Berkeley CA 94703 -
Fisher, Kim M
2640 Martin Luther King Jr Way , Berkeley CA 94704-3238 -
Genone, Sophia
3282 Adeline St , Berkeley CA 94703-2439 -
Smith, Tracy Patricia
1950 Addison Street , Berkeley CA 94704 -
Symon, Kerry Anne
2640 Martin Luther King Jr Way , Berkeley CA 94704-3238 -
Shekarloo, Azhi
3282 Adeline St , Berkeley CA 94703-2439 -
Middlebrook, Kelly
3282 Adeline St , Berkeley CA 94703-2439 -
Greve, Erica
2640 Martin Luther King Jr Way , Berkeley CA 94704-3238