Baxter, Shannon
Baxter, Shannon is an sole proprietor health care provider with primary practice located at 845 S 250 E , Winona Lake IN 46590-5700. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Baxter, Shannon can be contacted via phone (574) 265-8382.Contact Information
Primary practice address
845 S 250 E
Winona Lake IN 46590-5700
Phone: (574) 265-8382
Fax: (574) 971-4264
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 09000246A | Indiana |
Profile Details
| NPI number | 1316354608 |
|---|---|
| LBN Legal business name | Baxter, Shannon |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2014 |
| Last updated | Jul 17th, 2014 - about 11 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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