Corbin, Shannon L
Corbin, Shannon L is an individual health care provider with primary practice located at 1210 Sw 136Th St Navos Mhwc, Burien WA 98166-1214. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Corbin, Shannon L can be contacted via phone (206) 241-0990.Contact Information
Primary practice address
1210 Sw 136Th St Navos Mhwc
Burien WA 98166-1214
Phone: (206) 241-0990
Fax: (206) 257-6830
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD00046072 | Washington |
Profile Details
NPI number | 1689613085 |
---|---|
LBN Legal business name | Corbin, Shannon L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 5th, 2006 |
Last updated | Mar 18th, 2015 - about 9 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 | 1689613085 | NPPES |
Washington | MEDICAID | 2011628 |
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