Daugherty, Shannon

Daugherty, Shannon is an individual health care provider with primary practice located at 31 Arnot Rd Suite A, Horseheads NY 14845-8533. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Daugherty, Shannon can be contacted via phone (607) 739-3874.

Contact Information

Primary practice address
31 Arnot Rd Suite A Horseheads NY 14845-8533
Phone: (607) 739-3874
Fax: (607) 739-3632
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F320015-1 New York

Profile Details

NPI number 1669441044
LBN Legal business name Daugherty, Shannon
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jun 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669441044 NPPES
New York Other CC8362 RR MEDICARE GROUP
New York Other P00098788 RR MEDICARE GROUP
New York MEDICAID 02388796 RR MEDICARE GROUP

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