Boucher, Shannon

Boucher, Shannon is an sole proprietor health care provider with primary practice located at 1751 Pontiac St , Denver CO 80220-1831. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Boucher, Shannon can be contacted via phone (720) 382-4574.

Contact Information

Primary practice address
1751 Pontiac St Denver CO 80220-1831
Phone: (720) 382-4574
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X

Profile Details

NPI number 1740659226
LBN Legal business name Boucher, Shannon
Credentials Medical Nutrition Therapist (MNT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2015
Last updated Sep 15th, 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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