Provider Demographics
NPI:1740483684
Name:SINSHEIMER, SHANNON (ND)
Entity type:Individual
Prefix:DR
First Name:SHANNON
Middle Name:
Last Name:SINSHEIMER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74361 HIGHWAY 111 STE 3
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-4125
Mailing Address - Country:US
Mailing Address - Phone:760-568-2598
Mailing Address - Fax:
Practice Address - Street 1:74361 HIGHWAY 111 STE 3
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-4125
Practice Address - Country:US
Practice Address - Phone:760-568-2598
Practice Address - Fax:760-568-2915
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND237175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath