Profanchik, Shannon
Profanchik, Shannon is an sole proprietor health care provider with primary practice located at 546 E Sandy Lake Rd , Coppell TX 75019-5786. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Profanchik, Shannon can be contacted via phone (972) 393-8067.Contact Information
Primary practice address
546 E Sandy Lake Rd
Coppell TX 75019-5786
Phone: (972) 393-8067
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP129425 | Texas |
Profile Details
| NPI number | 1376918862 |
|---|---|
| LBN Legal business name | Profanchik, Shannon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 9th, 2015 |
| Last updated | Dec 9th, 2015 - about 11 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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