South, Shannon

South, Shannon is an sole proprietor health care provider with primary practice located at 460 Manhattan Ave Apt 2A , Brooklyn NY 11222-4939. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as her primary health care specialty. South, Shannon can be contacted via phone (646) 731-9497.

Contact Information

Primary practice address
460 Manhattan Ave Apt 2A Brooklyn NY 11222-4939
Phone: (646) 731-9497
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X

Profile Details

NPI number 1457934242
LBN Legal business name South, Shannon
Credentials FNTP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2021
Last updated Apr 30th, 2021 - about 4 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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