Doyle, Shannon Elizabeth
Doyle, Shannon Elizabeth is an individual health care provider with primary practice located at 1997 Sloan Pl Ste 17 , Maplewood MN 55117-2051. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Doyle, Shannon Elizabeth can be contacted via phone (651) 772-6251.Contact Information
Primary practice address
1997 Sloan Pl Ste 17
Maplewood MN 55117-2051
Phone: (651) 772-6251
Fax: (651) 294-9616
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 39336 | Minnesota |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 37336 | Minnesota |
Profile Details
| NPI number | 1326005679 |
|---|---|
| LBN Legal business name | Doyle, Shannon Elizabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Oct 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326005679 | NPPES |
| Minnesota | MEDICAID | 134823000 |
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