Callaway, Shannon Ballard

Callaway, Shannon Ballard is an individual health care provider with primary practice located at 601 W Country Club Rd Ste 201 , Roswell NM 88201-5225. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Callaway, Shannon Ballard can be contacted via phone (575) 627-0535.

Contact Information

Primary practice address
601 W Country Club Rd Ste 201 Roswell NM 88201-5225
Phone: (575) 627-0535
Fax: (575) 627-5590
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X COO2607 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2022-0043 New Mexico

Profile Details

NPI number 1144224932
LBN Legal business name Callaway, Shannon Ballard
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Apr 3rd, 2024 - about 8 months 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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