Waldon, Shannon

Waldon, Shannon is an sole proprietor health care provider with primary practice located at 510 Lincoln Dr , Herrin IL 62948-6334. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as her primary health care specialty. Waldon, Shannon can be contacted via phone (618) 997-6800.

Contact Information

Primary practice address
510 Lincoln Dr Herrin IL 62948-6334
Phone: (618) 997-6800
Fax: (618) 997-1187
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X 4393 Kentucky

Profile Details

NPI number 1336555051
LBN Legal business name Waldon, Shannon
Credentials CSA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2014
Last updated Sep 9th, 2014 - about 10 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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