Young, Shannon M

Young, Shannon M is an individual health care provider with primary practice located at 305 S State St , Aberdeen SD 57401-4527. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Young, Shannon M can be contacted via phone (605) 622-5000.

Contact Information

Primary practice address
305 S State St Aberdeen SD 57401-4527
Phone: (605) 622-5000
Fax: (605) 622-5255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 945 North Dakota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 0286 South Dakota

Profile Details

NPI number 1003880402
LBN Legal business name Young, Shannon M
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Sep 2nd, 2015 - 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 1003880402 NPPES
North Dakota Other CG3429 RAILROAD MEDICARE
North Dakota Other 26336 RAILROAD MEDICARE
North Dakota MEDICAID 50997 RAILROAD MEDICARE

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