Wong, Shannon

Wong, Shannon is an sole proprietor health care provider with primary practice located at 449 Forest Ave , Portland ME 04101-2029. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Wong, Shannon can be contacted via phone (207) 329-4386.

Contact Information

Primary practice address
449 Forest Ave Portland ME 04101-2029
Phone: (207) 329-4386
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X MT4634 Maine

Profile Details

NPI number 1790164648
LBN Legal business name Wong, Shannon
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2015
Last updated May 26th, 2015 - about 10 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