Provider Demographics
NPI:1396471819
Name:LINDER, SHANNON (CPO)
Entity type:Individual
Prefix:
First Name:SHANNON
Middle Name:
Last Name:LINDER
Suffix:
Gender:F
Credentials:CPO
Other - Prefix:
Other - First Name:SHANNON
Other - Middle Name:
Other - Last Name:HIGGINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3426 TORINGDON WAY STE 410
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-3497
Mailing Address - Country:US
Mailing Address - Phone:980-270-7407
Mailing Address - Fax:
Practice Address - Street 1:3426 TORINGDON WAY STE 410
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-3497
Practice Address - Country:US
Practice Address - Phone:980-270-7407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-27
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
No224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist