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Contact Information

SHANNON K PEMBLE
14700 LAKE SHORE DRIVE
REHAB DEPT
CHARLEVOIX, MI49720
 Phone: 231-547-8630
 Fax: 231-547-8078
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for SHANNON K PEMBLE · (Female)

NPI Number 1942701909
Status Active
Credentials
Entity Individual
Enumeration date 02/26/2018
Last updated 02/26/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5501010622
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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