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Contact Information

SHANNON MOORE SHABAZZ, DOULA/BIRTH WORKER
6313 N FAIRHILL ST
PHILADELPHIA, PA19126-3846
 Phone: 267-471-8648
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
 

Graphics Designer

1744G0900X
Indicates primary specialty

NPI Profile & details for SHANNON MOORE SHABAZZ · (Female)

NPI # 1730505025
Status Active
Credentials DOULA/BIRTH WORKER
Entity Individual
Enumeration date 03/11/2014
Last updated 03/11/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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