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Contact Information

SHANNON M MARTIN, RD
6505 MARKET ST
BOARDMAN, OH44512-3457
 Phone: 330-746-8100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for SHANNON M MARTIN · (Female)

NPI # 1992692008
Status Active
Credentials RD (Registered Dietitian)
Entity Individual
Enumeration date 06/20/2025
Last updated 06/20/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • License # 86079255
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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