Dean, Shannon
Dean, Shannon is an individual health care provider with primary practice located at 601 Elmwood Ave. , Rochester NY 14642-0001. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Clinical Neurophysiology is her primary health care specialty. Dean, Shannon can be contacted via phone (585) 275-2808.Contact Information
Primary practice address
601 Elmwood Ave.
Rochester NY 14642-0001
Phone: (585) 275-2808
Fax: (585) 275-3683
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | P27654 | Maryland |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | P27654 | Maryland |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 289101 | New York |
Profile Details
| NPI number | 1376803577 |
|---|---|
| LBN Legal business name | Dean, Shannon |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2012 |
| Last updated | Jul 21st, 2022 - 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 | 1376803577 | NPPES |
| Maryland | Other | P27654 | STATE LICENSE NUMBER |
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