Holtrop, Shannon
Holtrop, Shannon is an individual health care provider with primary practice located at 51 N Dunlap St Fl 4 , Memphis TN 38105-4625. She recently has only one registered license in Other Service Providers / Genetic Counselor, MS, which is considered as her primary health care specialty. Holtrop, Shannon can be contacted via phone (901) 287-7337.Contact Information
Primary practice address
51 N Dunlap St Fl 4
Memphis TN 38105-4625
Phone: (901) 287-7337
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Genetic Counselor, MS | 170300000X | 196 | Tennessee |
Profile Details
| NPI number | 1306360680 |
|---|---|
| LBN Legal business name | Holtrop, Shannon |
| Credentials | CGC, LGC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2017 |
| Last updated | Dec 29th, 2017 - about 9 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 | 1306360680 | NPPES |
| Tennessee | MEDICAID | Q032673 |
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