Stanush, Shannon
Stanush, Shannon is an sole proprietor health care provider with primary practice located at 19965 Fm 3175 , Lytle TX 78052-3481. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Stanush, Shannon can be contacted via phone (210) 357-0395.Contact Information
Primary practice address
19965 Fm 3175
Lytle TX 78052-3481
Phone: (210) 357-0395
Fax: (830) 709-5493
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | 093738 | Texas |
Profile Details
| NPI number | 1124329933 |
|---|---|
| LBN Legal business name | Stanush, Shannon |
| Credentials | EIS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2010 |
| Last updated | Nov 10th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124329933 | NPPES |
| Texas | Other | 09-3738 | LICENSE OTHER |
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