Dawson-Richardson, Shannon M
Dawson-Richardson, Shannon M is an individual health care provider with primary practice located at 14139 Potomac Mills Rd , Woodbridge VA 22192-4644. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dawson-Richardson, Shannon M can be contacted via phone (703) 490-8400.Contact Information
Primary practice address
14139 Potomac Mills Rd
Woodbridge VA 22192-4644
Phone: (703) 490-8400
Fax: (703) 490-7635
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A83288 | California |
Profile Details
| NPI number | 1194796250 |
|---|---|
| LBN Legal business name | Dawson-Richardson, Shannon M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Jun 28th, 2021 - about 3 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 | 1194796250 | NPPES |
| California | Other | A83288 | MD LICENSE |
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