Bailey, Shannon Lee
Bailey, Shannon Lee is an individual health care provider with primary practice located at 12303 Ne 130Th Ln Suite 450, Kirkland WA 98034-3099. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Bailey, Shannon Lee can be contacted via phone (425) 899-5000.Contact Information
Primary practice address
12303 Ne 130Th Ln Suite 450
Kirkland WA 98034-3099
Phone: (425) 899-5000
Fax: (425) 899-5006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD00033219 | Washington |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 51138020 | Wisconsin |
Profile Details
| NPI number | 1265436687 |
|---|---|
| LBN Legal business name | Bailey, Shannon Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Nov 11th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265436687 | NPPES |
| Washington | MEDICAID | 8182362 |
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