Moss, Shannon
Moss, Shannon is an sole proprietor health care provider with primary practice located at 746 Marion Ave Sw , Canton OH 44707-4371. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Moss, Shannon can be contacted via phone (330) 313-0919.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Homemaker | 376J00000X |
Profile Details
| NPI number | 1639610561 |
|---|---|
| LBN Legal business name | Moss, Shannon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 11th, 2017 |
| Last updated | Dec 3rd, 2020 - about 6 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 | 1639610561 | NPPES |
| Ohio | MEDICAID | 2551877 |
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