Vidacak, Shannon

Vidacak, Shannon is an individual health care provider with primary practice located at 2 Keewaydin Dr , Salem NH 03079-2839. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Vidacak, Shannon can be contacted via phone (800) 995-2673.

Contact Information

Primary practice address
2 Keewaydin Dr Salem NH 03079-2839
Phone: (800) 995-2673
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 38537 Oklahoma

Profile Details

NPI number 1972871101
LBN Legal business name Vidacak, Shannon
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2011
Last updated Dec 2nd, 2011 - about 13 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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