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:
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Health care specialties

SpecialtyCodeLicense #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 2 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 1376803577 NPPES
Maryland Other P27654 STATE LICENSE NUMBER

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