Brennan, Shannon

Brennan, Shannon is an individual health care provider with primary practice located at 700 Childrens Dr , Columbus OH 43205-2664. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Brennan, Shannon can be contacted via phone (614) 722-2000.

Contact Information

Primary practice address
700 Childrens Dr Columbus OH 43205-2664
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA063435 Pennsylvania

Profile Details

NPI number 1457006363
LBN Legal business name Brennan, Shannon
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2022
Last updated Apr 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457006363 NPPES
Ohio MEDICAID 0012523

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