Alexander, Shannon N.

Alexander, Shannon N. is an individual health care provider with primary practice located at 275 W Macarthur Blvd , Oakland CA 94611-5641. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Alexander, Shannon N. can be contacted via phone (510) 752-1000.

Contact Information

Primary practice address
275 W Macarthur Blvd Oakland CA 94611-5641
Phone: (510) 752-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A87679 California

Profile Details

NPI number 1629140439
LBN Legal business name Alexander, Shannon N.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Jan 6th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629140439 NPPES
California MEDICAID 00A876790

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