Dittbrenner, Shannon

Dittbrenner, Shannon is an sole proprietor health care provider with primary practice located at 601 Lakewood Rd , Pine Bush NY 12566-7208. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Dittbrenner, Shannon can be contacted via phone (845) 283-3177.

Contact Information

Primary practice address
601 Lakewood Rd Pine Bush NY 12566-7208
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 282262 New York
Nursing Service Providers / Registered Nurse 163W00000X 632705 New York

Profile Details

NPI number 1942623558
LBN Legal business name Dittbrenner, Shannon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2014
Last updated Feb 3rd, 2014 - 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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