Asbury, Shannon Brock

Asbury, Shannon Brock is an individual health care provider with primary practice located at 2410 Susannah Street , Johnson City TN 37601. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Asbury, Shannon Brock can be contacted via phone (423) 282-9011.

Contact Information

Primary practice address
2410 Susannah Street Johnson City TN 37601
Phone: (423) 282-9011
Fax: (423) 722-0264
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X Tennessee

Profile Details

NPI number 1174986186
LBN Legal business name Asbury, Shannon Brock
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2016
Last updated Mar 29th, 2016 - about 8 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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