Eddy, Shannon R

Eddy, Shannon R is an sole proprietor health care provider with primary practice located at 800 Garfield Ave , Parkersburg WV 26101-5340. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Eddy, Shannon R can be contacted via phone (304) 424-2590.

Contact Information

Primary practice address
800 Garfield Ave Parkersburg WV 26101-5340
Fax: (304) 422-3924
Website:

Profile Details

NPI number 1144217340
LBN Legal business name Eddy, Shannon R
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2005
Last updated Aug 29th, 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 1144217340 NPPES
West Virginia MEDICAID 0067769000
West Virginia MEDICAID 0767433

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