Jenkins, Shannon
Jenkins, Shannon is an sole proprietor health care provider with primary practice located at 1307 Jamestown Rd Suite 103, Williamsburg VA 23185. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Jenkins, Shannon can be contacted via phone (757) 229-4161.Contact Information
Primary practice address
1307 Jamestown Rd Suite 103
Williamsburg VA 23185
Phone: (757) 229-4161
Fax: (757) 564-0581
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 0019013639 | Virginia |
Profile Details
| NPI number | 1255867420 |
|---|---|
| LBN Legal business name | Jenkins, Shannon |
| Credentials | CMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2017 |
| Last updated | May 10th, 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 | 1255867420 | NPPES |
| Virginia | MEDICAID | 350504530010 |
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