Fowl, Shannyn I

Fowl, Shannyn I is an sole proprietor health care provider with primary practice located at 5575 Lake Park Way Ste. 114, La Mesa CA 91942-1664. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Fowl, Shannyn I can be contacted via phone (619) 772-1164.

Contact Information

Primary practice address
5575 Lake Park Way Ste. 114 La Mesa CA 91942-1664
Phone: (619) 772-1164
Fax: (619) 463-8986
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X ND-451 California

Profile Details

NPI number 1568750495
LBN Legal business name Fowl, Shannyn I
Credentials N.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2011
Last updated Mar 21st, 2012 - about 14 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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