Shannon-Alix, Jeanette
Shannon-Alix, Jeanette is an individual health care provider with primary practice located at 41 Crestview Ter , Bridgeport WV 26330-1010. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Shannon-Alix, Jeanette can be contacted via phone (304) 842-3610.Contact Information
Primary practice address
41 Crestview Ter
Bridgeport WV 26330-1010
Phone: (304) 842-3610
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1215 | West Virginia |
Profile Details
| NPI number | 1558488916 |
|---|---|
| LBN Legal business name | Shannon-Alix, Jeanette |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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