Stephens, Shannon Grist

Stephens, Shannon Grist is an sole proprietor health care provider with primary practice located at 660 Big Slough Rd. , Atoka OK 74525-0000. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Stephens, Shannon Grist can be contacted via phone (580) 364-4257.

Contact Information

Primary practice address
660 Big Slough Rd. Atoka OK 74525-0000
Phone: (580) 364-4257
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1396092482
LBN Legal business name Stephens, Shannon Grist
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2012
Last updated Aug 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.

Request for update

Popular Providers