Creme, Shannon
Creme, Shannon is an individual health care provider with primary practice located at 11109 River Hills Ln , Las Vegas NV 89135-1791. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Creme, Shannon can be contacted via phone (702) 731-0909.Contact Information
Primary practice address
11109 River Hills Ln
Las Vegas NV 89135-1791
Phone: (702) 731-0909
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | CP5049 | Nevada |
Profile Details
| NPI number | 1255709291 |
|---|---|
| LBN Legal business name | Creme, Shannon |
| Credentials | CPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2015 |
| Last updated | Sep 17th, 2021 - about 5 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 | 1255709291 | NPPES |
| Nevada | Other | 1255709291 | NPI |
| Nevada | MEDICAID | 100543107 | NPI |
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