MEDICARE: SHANNON ALLEN HIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237700000X	Hearing Instrument Specialist	497	MA

General Provider Information

NPI Number	:	1346846342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON ALLEN HIS

Provider Business Mailing Address
First Line	:	31 SUSAN DR
Second Line	:
City	:	WESTFIELD
State	:	MA
Zip	:	01085-1443
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	683 JAMES ST
Second Line	:
City	:	CHICOPEE
State	:	MA
Zip	:	01020-3913
Country	:	US
Telephone Number	:	413-536-6700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2020
Last Update Date	:	02/26/2026

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Directions to “ SHANNON ALLEN HIS” Practice Location

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