Carr, Shannon
Carr, Shannon is an individual health care provider with primary practice located at 2211 Lomas Blvd Ne 4Th Floor Ambulatory Care Ctr, Albuquerque NM 87106-2719. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Carr, Shannon can be contacted via phone (505) 272-2245.Contact Information
Primary practice address
2211 Lomas Blvd Ne 4Th Floor Ambulatory Care Ctr
Albuquerque NM 87106-2719
Phone: (505) 272-2245
Fax: (505) 272-1109
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 016521 | Maine |
Profile Details
| NPI number | 1023016789 |
|---|---|
| LBN Legal business name | Carr, Shannon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Apr 3rd, 2019 - about 6 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 | 1023016789 | NPPES |
| Maine | MEDICAID | 416350099 |
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