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
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922020353 | NPPES |
Massachusetts | Other | J40959 | BLUE SHIELD |
Massachusetts | MEDICAID | 2126966 | BLUE SHIELD |
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