Shannon Jean Borton, FSA
Individual provider Active NPI Other Technician · Stanton, MI
NPI 1053900092 · NPPES record last updated Mar 12, 2025
Key facts
- NPI
- 1053900092
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 611 N State St
Stanton, MI 48888-9702 - Phone
- (989) 831-7520
- Fax
- (989) 831-7578
- NPI assigned
- Jan 14, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
611 N State St
Stanton, MI 48888-9702
Mailing address
611 N State St
Stanton, MI 48888-9702
Phone (989) 831-7520
Other providers in Stanton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.