Bottari, Shannon

Bottari, Shannon is an individual health care provider with primary practice located at 585 Lebanon St , Melrose MA 02176-3225. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Bottari, Shannon can be contacted via phone (781) 937-4522.

Contact Information

Primary practice address
585 Lebanon St Melrose MA 02176-3225
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 225017 Massachusetts

Profile Details

NPI number 1922020353
LBN Legal business name Bottari, Shannon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Apr 23rd, 2008 - about 16 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 1922020353 NPPES
Massachusetts Other J40959 BLUE SHIELD
Massachusetts MEDICAID 2126966 BLUE SHIELD

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