Forman, Shannon

Forman, Shannon is an sole proprietor health care provider with primary practice located at 1469 E Douglas St , Casa Grande AZ 85122-1745. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Forman, Shannon can be contacted via phone (516) 398-7478.

Contact Information

Primary practice address
1469 E Douglas St Casa Grande AZ 85122-1745
Phone: (516) 398-7478
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1407424823
LBN Legal business name Forman, Shannon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2021
Last updated Jun 13th, 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.

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