Wyatt, Shannon

Wyatt, Shannon is an sole proprietor health care provider with primary practice located at 400 Commerce Cir H, Yorktown VA 23693-4322. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Suppliers / Customized Equipment, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is her primary health care specialty. Wyatt, Shannon can be contacted via phone (757) 596-2484.

Contact Information

Primary practice address
400 Commerce Cir H Yorktown VA 23693-4322
Phone: (757) 596-2484
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 1202213935 Virginia
Suppliers / Customized Equipment 332BC3200X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1992151203
LBN Legal business name Wyatt, Shannon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2016
Last updated May 6th, 2016 - 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

Identifiers

StateTypeNumberIssuer
All States NPI 1992151203 NPPES
Virginia Other 1202213935 DPOR

Popular Providers