National Provider Identifier Database

SHANNON ALLEN
Family


Contact Information

SHANNON ALLEN
7117 BROCKTON AVE
RIVERSIDE, CA92506-2658
Phone: 951-782-3739
Fax:
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for SHANNON ALLEN

NPI Number 1982089173
Credentials
Entity Individual
Enumeration date 07/29/2015
Last updated 02/24/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • CA License #: 95002684
Hospital affiliation n/a

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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