Holman, Shannon
Holman, Shannon is an sole proprietor health care provider with primary practice located at 2449 N Tenaya Way Unit 34991 , Las Vegas NV 89128-9995. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Holman, Shannon can be contacted via phone (702) 970-9242.Contact Information
Primary practice address
2449 N Tenaya Way Unit 34991
Las Vegas NV 89128-9995
Phone: (702) 970-9242
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 0046 | Nevada |
Profile Details
| NPI number | 1275620270 |
|---|---|
| LBN Legal business name | Holman, Shannon |
| Credentials | OTR/L, BCP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Jun 1st, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275620270 | NPPES |
| Nevada | MEDICAID | 003402345 |
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