Dennis, Shannan M

Dennis, Shannan M is an individual health care provider with primary practice located at 730 W Market St , Lima OH 45801-4602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dennis, Shannan M can be contacted via phone (419) 227-3361.

Contact Information

Primary practice address
730 W Market St Lima OH 45801-4602
Phone: (419) 227-3361
Fax: (419) 226-9826
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50001800 Ohio

Profile Details

NPI number 1295774883
LBN Legal business name Dennis, Shannan M
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated May 16th, 2008 - about 17 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 1295774883 NPPES
Ohio Other P00396192 MEDICARE RR

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