Rueb, Shannon

Rueb, Shannon is an individual health care provider with primary practice located at 231 Johnson Ave , Sayville NY 11782-1115. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Rueb, Shannon can be contacted via phone (631) 804-1814.

Contact Information

Primary practice address
231 Johnson Ave Sayville NY 11782-1115
Phone: (631) 804-1814
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 360868 New York

Profile Details

NPI number 1942562749
LBN Legal business name Rueb, Shannon
Credentials M.S., ED.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2012
Last updated Jun 8th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942562749 NPPES
New York MEDICAID 110606

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