Corcoran, Shannon Kathleen

Corcoran, Shannon Kathleen is an individual health care provider with primary practice located at 955 Eastwind Dr , Westerville OH 43081-3376. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Corcoran, Shannon Kathleen can be contacted via phone (888) 444-1203.

Contact Information

Primary practice address
955 Eastwind Dr Westerville OH 43081-3376
Phone: (888) 444-1203
Fax: (614) 268-7849
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 50.003075 Ohio

Profile Details

NPI number 1326276379
LBN Legal business name Corcoran, Shannon Kathleen
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2009
Last updated Jun 19th, 2013 - about 12 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 1326276379 NPPES
Other P00900285 RR MEDICARE

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