Carmouche, Shannan Lee

Carmouche, Shannan Lee is an sole proprietor health care provider with primary practice located at 9800 Broadway Extension Suite 203, Oklahoma City OK 73114. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Carmouche, Shannan Lee can be contacted via phone (405) 419-5412.

Contact Information

Primary practice address
9800 Broadway Extension Suite 203 Oklahoma City OK 73114
Phone: (405) 419-5412
Fax: (405) 419-5468
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 1162 Oklahoma
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 1162 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1162 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1162 Oklahoma

Profile Details

NPI number 1770560161
LBN Legal business name Carmouche, Shannan Lee
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2005
Last updated Feb 3rd, 2016 - about 8 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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