Fowler, Shannon

Fowler, Shannon is an individual health care provider with primary practice located at 222 Auburn St Ste. 1G, Portland ME 04103-6004. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Fowler, Shannon can be contacted via phone (207) 797-8255.

Contact Information

Primary practice address
222 Auburn St Ste. 1G Portland ME 04103-6004
Phone: (207) 797-8255
Fax: (207) 797-5560
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP1122 Maine

Profile Details

NPI number 1821107806
LBN Legal business name Fowler, Shannon
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Oct 7th, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821107806 NPPES
Maine Other 027704 ANTHEM BLUE CROSS AND BLU
Maine MEDICAID 255760099 ANTHEM BLUE CROSS AND BLU

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