Convery, Shannon Marie

Convery, Shannon Marie is an individual health care provider with primary practice located at 5172 Leavitt Rd , Lorain OH 44053-2384. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Convery, Shannon Marie can be contacted via phone (440) 282-3385.

Contact Information

Primary practice address
5172 Leavitt Rd Lorain OH 44053-2384
Phone: (440) 282-3385
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA03157 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1052607 NCCPA NUMBER Texas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 50.002241 Ohio

Profile Details

NPI number 1871803676
LBN Legal business name Convery, Shannon Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2010
Last updated Nov 18th, 2020 - about 4 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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