Pedersen, Shannon

Pedersen, Shannon is an individual health care provider with primary practice located at 725 Airport Rd , Lakewood NJ 08701-5968. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Pedersen, Shannon can be contacted via phone (732) 323-3664.

Contact Information

Primary practice address
725 Airport Rd Lakewood NJ 08701-5968
Phone: (732) 323-3664
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1790348571
LBN Legal business name Pedersen, Shannon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2019
Last updated Apr 17th, 2019 - about 7 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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