Wichman, Shannon Faith

Wichman, Shannon Faith is an sole proprietor health care provider with primary practice located at 25 Little Plains Rd , Huntington NY 11743-4550. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Wichman, Shannon Faith can be contacted via phone (631) 266-4441.

Contact Information

Primary practice address
25 Little Plains Rd Huntington NY 11743-4550
Phone: (631) 266-4441
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 018960 New York

Profile Details

NPI number 1467869818
LBN Legal business name Wichman, Shannon Faith
Credentials MS OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2014
Last updated Oct 21st, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467869818 NPPES
New York Other 018960 NYS OT LICENSE

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