Staggers, Shannon J
Staggers, Shannon J is an individual health care provider with primary practice located at 38 Old Ridgebury Rd , Danbury CT 06810-5128. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Staggers, Shannon J can be contacted via phone (203) 792-4515.Contact Information
Primary practice address
38 Old Ridgebury Rd
Danbury CT 06810-5128
Phone: (203) 792-4515
Fax: (203) 748-2604
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 119642 | Connecticut |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 3672 | Connecticut |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 300452 | Connecticut |
Profile Details
| NPI number | 1578904942 |
|---|---|
| LBN Legal business name | Staggers, Shannon J |
| Credentials | B.A., CAC, MATS, CCB |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2013 |
| Last updated | Jul 12th, 2013 - about 12 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 | 1578904942 | NPPES |
| Connecticut | Other | 1174607253 | MIDWESTERN CONNECTICUT COUNCIL OF ALCOHOLISM |
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