Cowcer, Shannon Elizabeth Jackman

Cowcer, Shannon Elizabeth Jackman is an individual health care provider with primary practice located at 1205 Mcfadden Dr , East Northport NY 11731-2721. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Cowcer, Shannon Elizabeth Jackman can be contacted via phone (631) 375-5378.

Contact Information

Primary practice address
1205 Mcfadden Dr East Northport NY 11731-2721
Phone: (631) 375-5378
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1710620745
LBN Legal business name Cowcer, Shannon Elizabeth Jackman
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2022
Last updated Apr 18th, 2022 - about 4 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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