Wallin, Shannon Rene

Wallin, Shannon Rene is an individual health care provider with primary practice located at 41717 Palm Ave , Fremont CA 94539-4722. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Wallin, Shannon Rene can be contacted via phone (510) 657-3600.

Contact Information

Primary practice address
41717 Palm Ave Fremont CA 94539-4722
Phone: (510) 657-3600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1649055476
LBN Legal business name Wallin, Shannon Rene
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2023
Last updated Aug 29th, 2023 - about 2 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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