Smith, Shannon Leigh

Smith, Shannon Leigh is an individual health care provider with primary practice located at 1290 E Broomfield St , Mt Pleasant MI 48858-4449. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Smith, Shannon Leigh can be contacted via phone (989) 773-1209.

Contact Information

Primary practice address
1290 E Broomfield St Mt Pleasant MI 48858-4449
Phone: (989) 773-1209
Fax: (989) 773-4267
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 1601000386 Michigan

Profile Details

NPI number 1154408102
LBN Legal business name Smith, Shannon Leigh
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Mar 7th, 2013 - about 12 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 1154408102 NPPES
Other 114370 UCARE
Other 75D75SM UCARE
Other 1011302 UCARE
Other 5G979EA UCARE
Other 640003663 UCARE
Other 4500055 UCARE
MEDICAID 194317100 UCARE
Other 41394 UCARE

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