Chatham, Shannon Lynn

Chatham, Shannon Lynn is an individual health care provider with primary practice located at 5151 Morning Sun Rd Ste D , Oxford OH 45056-9546. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Chatham, Shannon Lynn can be contacted via phone (513) 523-4195.

Contact Information

Primary practice address
5151 Morning Sun Rd Ste D Oxford OH 45056-9546
Phone: (513) 523-4195
Fax: (513) 523-4353
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34.015237 Ohio

Profile Details

NPI number 1215420013
LBN Legal business name Chatham, Shannon Lynn
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2018
Last updated Oct 14th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215420013 NPPES
Ohio MEDICAID 2565399

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