Dewitt, Shannon M
Dewitt, Shannon M is an individual health care provider with primary practice located at 7950 W Jefferson Blvd Pharmacy-Second Floor, Fort Wayne IN 46804-4140. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Dewitt, Shannon M can be contacted via phone (260) 435-7702.Contact Information
Primary practice address
7950 W Jefferson Blvd Pharmacy-Second Floor
Fort Wayne IN 46804-4140
Phone: (260) 435-7702
Fax: (260) 435-6869
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 26019698A | Indiana |
| Pharmacy Service Providers / Pharmacist | 183500000X | 03-2-23033 | Ohio |
Profile Details
| NPI number | 1952512196 |
|---|---|
| LBN Legal business name | Dewitt, Shannon M |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2007 |
| Last updated | Jul 8th, 2007 - 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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