Beaulieu, Shannon
Beaulieu, Shannon is an individual health care provider with primary practice located at 620 John Paul Jones Cir , Portsmouth VA 23708-2111. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Other Service Providers / Military Health Care Provider. Other Service Providers / Military Health Care Provider is her primary health care specialty. Beaulieu, Shannon can be contacted via phone (757) 953-5000.Contact Information
Primary practice address
620 John Paul Jones Cir
Portsmouth VA 23708-2111
Phone: (757) 953-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D15057 | Minnesota |
| Other Service Providers / Military Health Care Provider | 171000000X |
Profile Details
| NPI number | 1285474288 |
|---|---|
| LBN Legal business name | Beaulieu, Shannon |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2024 |
| Last updated | Jun 6th, 2024 - about last year |
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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