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Contact Information

SHANNON E VANDIVER
1520 S COURT ST
CROWN POINT, IN46307-4809
 Phone: 219-663-0336
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy Technician

183700000X
Indicates primary specialty

NPI Profile & details for SHANNON E VANDIVER · (Female)

NPI # 1528714763
Status Active
Credentials
Entity Individual
Enumeration date 02/25/2022
Last updated 02/25/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 67037713A
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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