Stamper, Shannon Leiambre
Stamper, Shannon Leiambre is an individual health care provider with primary practice located at 610 W Hays St , Boise ID 83702. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Pediatric. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Stamper, Shannon Leiambre can be contacted via phone (208) 381-7092.Contact Information
Primary practice address
610 W Hays St
Boise ID 83702
Phone: (208) 381-7092
Fax: (208) 381-7071
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | D-874 | Idaho |
| Dietary & Nutritional Service Providers / Nutrition, Pediatric | 133VN1004X | D-874 | Idaho |
Profile Details
| NPI number | 1659754810 |
|---|---|
| LBN Legal business name | Stamper, Shannon Leiambre |
| Credentials | RD, CSP, LD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2015 |
| Last updated | Jul 25th, 2019 - about 7 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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