Cavanaugh, Shannon
Cavanaugh, Shannon is an sole proprietor health care provider with primary practice located at 2550 Pegasus Dr , Fairbanks AK 99712-3272. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Cavanaugh, Shannon can be contacted via phone (702) 235-9985.Contact Information
Primary practice address
2550 Pegasus Dr
Fairbanks AK 99712-3272
Phone: (702) 235-9985
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Naturopath | 175F00000X | 191955 | Alaska |
| Other Service Providers / Naturopath | 175F00000X | 19-1820 | Arizona |
Profile Details
| NPI number | 1811538770 |
|---|---|
| LBN Legal business name | Cavanaugh, Shannon |
| Credentials | NMD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2019 |
| Last updated | May 24th, 2023 - about 3 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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