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Contact Information

SHANNON KING, LAC, LMT
363 ROUTE 111
SUITE LL8
SMITHTOWN, NY11787-4756
 Phone: 631-257-5757
 Fax: 631-419-8057
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
 

Mechanotherapist

172M00000X
Indicates primary specialty

NPI Profile & details for SHANNON KING · (Female)

NPI Number 1538431275
Status Active
Credentials LAC, LMT
Entity Individual
Enumeration date 01/26/2012
Last updated 08/03/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 005430
  • NY License # 025155-1
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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