Bales, Shannon Rylee
Bales, Shannon Rylee is an individual health care provider with primary practice located at 1100 Goethals Dr Fl 1 , Richland WA 99352-3300. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Bales, Shannon Rylee can be contacted via phone (509) 942-3288.Contact Information
Primary practice address
1100 Goethals Dr Fl 1
Richland WA 99352-3300
Phone: (509) 942-3288
Fax: (509) 946-9389
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A101730 | California |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | MD60249292 | Washington |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD60249292 | Washington |
Profile Details
| NPI number | 1407008113 |
|---|---|
| LBN Legal business name | Bales, Shannon Rylee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2008 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1407008113 | NPPES |
| Washington | Other | MD60249292 | WA MEDICAL LICENSE |
| Washington | MEDICAID | 2017649 | WA MEDICAL LICENSE |
| Washington | Other | 0289445 | WA MEDICAL LICENSE |
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