Shannon Colleen Bennett
Naturopath
781 Kenmoor Ave Se Ste C
Grand Rapids
, Michigan 49546-8624
Shannon Colleen Bennett
Naturopath
781 Kenmoor Ave Se Ste C
Grand Rapids
, Michigan 49546-8624
(616) 606-0050
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About
Features
Specialties
- Naturopath
Languages spoken
- English
Location
First Address
- Shannon Colleen Bennett
- 781 Kenmoor Ave Se Ste C
- Grand Rapids, MI
- Zip : 49546-8624
- Phone : (616) 606-0050
Second Address
- Shannon Colleen Bennett
- 781 Kenmoor Ave Se Ste C
- Grand Rapids, MI
- Zip : 49546-8624
- Phone : (616) 606-0050
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 175F00000X | Naturopath | 17-1680 | AZ |
National Provider Identifier
| NPI | 1073012324 |
|---|---|
| Provider Name | Shannon Colleen Bennett |
| First Address | Grand Rapids, MI 49546-8624 |
| Second Address | Grand Rapids, MI 49546-8624 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/02/2018 |
| Last Update Date | 17/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.