Shannon Michelle Underwood in Dekalb - Professional
Shannon Michelle Underwood - NPI 1104999317
Shannon Michelle Underwood is a Professional in Dekalb, Illinois. Shannon Michelle Underwood practices all healthcare services and medical treatments related to Professional. The NPI Number for Shannon Michelle Underwood is 1104999317. The last update date is 2007-07-08.
Shannon Michelle Underwood's current location address is 510 S 2nd St, Dekalb, Illinois. You can contact this provider via phone number 8157611578. The mailing address for Shannon Michelle Underwood is 510 S 2nd St, Dekalb, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Shannon Michelle Underwood |
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Address | 510 S 2nd St, Dekalb, Illinois |
Phone Number | 8157611578 |
Fax Number | |
Sole Proprietor | N |
Credentials | MS ED, NCC |
NPI Number Detail
NPI Number | 1104999317 |
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Provider Enumeration Date | 2006-11-16 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 510 S 2nd St |
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City | Dekalb |
State | Illinois (IL) |
Post Code | 601153722 |
Phone Number | 8157611578 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Professional |
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Taxonomy | 101Yp2500X |
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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What is the unique 10-digit identifier code issued to Shannon Michelle Underwood by the Centers for Medicare & Medicaid Services?
The Shannon Michelle Underwood has been assigned the NPI (National Provider Identifier) 1104999317 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Shannon Michelle Underwood is physically located?
The Shannon Michelle Underwood is situated at the following address: 510 S 2Nd St, Dekalb, IL 601153722.
What is the Shannon Michelle Underwood's area of specialization and corresponding taxonomy classification?
The Shannon Michelle Underwood's specialty field is Professional, and it falls under the taxonomy code 101Yp2500X, which categorizes healthcare providers based on their specialties.
On what date did Shannon Michelle Underwood receive its 1104999317 assignment from the Centers for Medicare & Medicaid Services?
The Shannon Michelle Underwood was assigned its 1104999317 on 2006-11-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Shannon Michelle Underwood most recently updated or revised?
The details related to Shannon Michelle Underwood, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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