Wild, Shannon

Wild, Shannon is an sole proprietor health care provider with primary practice located at 1110 Catalpa Dr , Royal Oak MI 48067-1125. She recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as her primary health care specialty. Wild, Shannon can be contacted via phone (248) 971-0383.

Contact Information

Primary practice address
1110 Catalpa Dr Royal Oak MI 48067-1125
Phone: (248) 971-0383
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1861750747
LBN Legal business name Wild, Shannon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2012
Last updated Apr 27th, 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.

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