Halll, Shannon

Halll, Shannon is an individual health care provider with primary practice located at 19 E Pike St , Cov KY 41011-2442. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Halll, Shannon can be contacted via phone (859) 491-1348.

Contact Information

Primary practice address
19 E Pike St Cov KY 41011-2442
Phone: (859) 491-1348
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1770510810
LBN Legal business name Halll, Shannon
Credentials BS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Jul 8th, 2007 - about 19 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 1770510810 NPPES
Kentucky Other 184607 MEDICARE GROUP NUMBER

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