Merkel, Shannon Vivienne

Merkel, Shannon Vivienne is an individual health care provider with primary practice located at 25910 Acero Ste 160 , Mission Viejo CA 92691-2777. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Merkel, Shannon Vivienne can be contacted via phone (909) 835-4800.

Contact Information

Primary practice address
25910 Acero Ste 160 Mission Viejo CA 92691-2777
Phone: (909) 835-4800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Peer Specialist 175T00000X MPSS-BOILUH California

Profile Details

NPI number 1740649250
LBN Legal business name Merkel, Shannon Vivienne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2016
Last updated Oct 12th, 2024 - about 2 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 1740649250 NPPES
California Other 1740649250 MEDI-CAL

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