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Contact Information

SHANNON SHONE
2.5 MILES SW BLUE GAP STORE
BLUE GAP, AZ86520
 Phone: 505-507-9178
 Fax: 928-725-3157
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Non-emergency Medical Transport (VAN)

343900000X
Indicates primary specialty

NPI Profile & details for SHANNON SHONE · (Female)

NPI # 1588102875
Status Active
Credentials
Entity Individual
Enumeration date 02/07/2017
Last updated 02/07/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ Medicaid 010738
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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