Borrego, Shannon Yvonne
Borrego, Shannon Yvonne is an individual health care provider with primary practice located at 483 W. Seed Farm Rd , Sacaton AZ 85147. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Borrego, Shannon Yvonne can be contacted via phone (602) 528-1200.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1825 | Arizona |
Profile Details
| NPI number | 1497034342 |
|---|---|
| LBN Legal business name | Borrego, Shannon Yvonne |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2011 |
| Last updated | Nov 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497034342 | NPPES |
| Arizona | MEDICAID | 640201 |
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