White, Shannon

White, Shannon is an individual health care provider with primary practice located at 2264 E Faunhill Dr , Eagle ID 83616-6625. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. White, Shannon can be contacted via phone (208) 422-1113.

Contact Information

Primary practice address
2264 E Faunhill Dr Eagle ID 83616-6625
Phone: (208) 422-1113
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1074 Idaho

Profile Details

NPI number 1598163297
LBN Legal business name White, Shannon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2014
Last updated Dec 11th, 2014 - 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.

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