Deaton, Shannon M

Deaton, Shannon M is an individual health care provider with primary practice located at 230 S 4Th St , Gadsden AL 35901-5265. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Deaton, Shannon M can be contacted via phone (256) 549-7890.

Contact Information

Primary practice address
230 S 4Th St Gadsden AL 35901-5265
Phone: (256) 549-7890
Fax: (256) 549-7891
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 233 Alabama

Profile Details

NPI number 1629134861
LBN Legal business name Deaton, Shannon M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2006
Last updated Jun 11th, 2010 - 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 1629134861 NPPES
Alabama MEDICAID 051558978

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