Individual
SHAWN DONALD ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
312 RAILROAD AVE, ELKINS, WV 26241-3859
(304) 637-1000
Mailing address
312 RAILROAD AVE, ELKINS, WV 26241-3859
(304) 637-1000
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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