Walter, Shannon
Walter, Shannon is an sole proprietor health care provider with primary practice located at 3810 166Th Pl Ne Suite 201-A, Arlington WA 98223-8402. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Walter, Shannon can be contacted via phone (360) 333-8361.Contact Information
Primary practice address
3810 166Th Pl Ne Suite 201-A
Arlington WA 98223-8402
Phone: (360) 333-8361
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MA00006202 | Washington |
Profile Details
| NPI number | 1912046772 |
|---|---|
| LBN Legal business name | Walter, Shannon |
| Credentials | LMP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912046772 | NPPES |
| Washington | Other | 0036825 | LABOR & INDUSTRY PROVIDER |
| Washington | Other | 5529WA | LABOR & INDUSTRY PROVIDER |
| Washington | Other | 3810WA | LABOR & INDUSTRY PROVIDER |
| Washington | Other | MA00006202 | LABOR & INDUSTRY PROVIDER |
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