Conner, Shawn K
Conner, Shawn K is an individual health care provider with primary practice located at 5900 Waldon Rd , Clarkston MI 48346-4806. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Conner, Shawn K can be contacted via phone (248) 625-7890.Contact Information
Primary practice address
5900 Waldon Rd
Clarkston MI 48346-4806
Phone: (248) 625-7890
Fax: (248) 625-7527
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301059910 | Michigan |
Profile Details
| NPI number | 1568564367 |
|---|---|
| LBN Legal business name | Conner, Shawn K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2006 |
| Last updated | Nov 29th, 2011 - about 14 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 | 1568564367 | NPPES |
| Michigan | MEDICAID | 4591323 |
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