Stallworth, Shannon Lynn
Stallworth, Shannon Lynn is an sole proprietor health care provider with primary practice located at 921 Lake Land Blvd , Mattoon IL 61938-5521. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Stallworth, Shannon Lynn can be contacted via phone (217) 235-3100.Contact Information
Primary practice address
921 Lake Land Blvd
Mattoon IL 61938-5521
Phone: (217) 235-3100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | Illinois |
Profile Details
| NPI number | 1013190297 |
|---|---|
| LBN Legal business name | Stallworth, Shannon Lynn |
| Credentials | L.M.T,NCTMB |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 11th, 2007 |
| Last updated | Dec 11th, 2007 - about 18 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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