Winstead, Shannon R

Winstead, Shannon R is an individual health care provider with primary practice located at 828 Washington St , Huntingdon PA 16652-1726. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Winstead, Shannon R can be contacted via phone (814) 643-2020.

Contact Information

Primary practice address
828 Washington St Huntingdon PA 16652-1726
Fax: (814) 641-2020
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG002788 Pennsylvania

Profile Details

NPI number 1225477797
LBN Legal business name Winstead, Shannon R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2013
Last updated Jun 18th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225477797 NPPES
Pennsylvania Other OEG002788 PENNSYLVANIA STATE LICENSE

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