Moose, Shannon Lynn

Moose, Shannon Lynn is an sole proprietor health care provider with primary practice located at 255 Red Gate Rd , St Charles IL 60175-6396. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Moose, Shannon Lynn can be contacted via phone (224) 805-1199.

Contact Information

Primary practice address
255 Red Gate Rd St Charles IL 60175-6396
Phone: (224) 805-1199
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 096004184 Illinois

Profile Details

NPI number 1114748928
LBN Legal business name Moose, Shannon Lynn
Credentials ATC, ROT, LAT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2024
Last updated Oct 23rd, 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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