Carlson, Shannon

Carlson, Shannon is an sole proprietor health care provider with primary practice located at 2683 Route 34 , Oswego IL 60543-8577. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Carlson, Shannon can be contacted via phone (630) 733-9108.

Contact Information

Primary practice address
2683 Route 34 Oswego IL 60543-8577
Fax: (630) 912-4242
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 178015299 Illinois

Profile Details

NPI number 1962046615
LBN Legal business name Carlson, Shannon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2019
Last updated Nov 5th, 2019 - about 7 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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