Pieck, Shannon Reed
Pieck, Shannon Reed is an sole proprietor health care provider with primary practice located at 1020 W Lackawanna Ave , Scranton PA 18504-2052. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Pieck, Shannon Reed can be contacted via phone (570) 904-6000.Contact Information
Primary practice address
1020 W Lackawanna Ave
Scranton PA 18504-2052
Phone: (570) 904-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | 11807 | Pennsylvania |
Profile Details
| NPI number | 1881210938 |
|---|---|
| LBN Legal business name | Pieck, Shannon Reed |
| Credentials | CRS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2020 |
| Last updated | Jun 24th, 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 | 1881210938 | NPPES |
| Pennsylvania | Other | 11807 | STATE LICENSE |
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