Wickman, Shannon Mooney

Wickman, Shannon Mooney is an individual health care provider with primary practice located at 72 Main St , Kennebunk ME 04043-7021. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Wickman, Shannon Mooney can be contacted via phone (207) 467-8825.

Contact Information

Primary practice address
72 Main St Kennebunk ME 04043-7021
Phone: (207) 467-8825
Fax: (207) 467-8811
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 2439 Massachusetts

Profile Details

NPI number 1356423024
LBN Legal business name Wickman, Shannon Mooney
Credentials RD, LDN, CSOWM
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Jul 24th, 2023 - about 3 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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