Evans, Shannon D
Evans, Shannon D is an individual health care provider with primary practice located at 4745 Boardwalk Drive Unit C3 , Fort Collins CO 80525. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Evans, Shannon D can be contacted via phone (970) 305-0101.Contact Information
Primary practice address
4745 Boardwalk Drive Unit C3
Fort Collins CO 80525
Phone: (970) 305-0101
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DOS-1720 | Hawaii |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 8365A | Wyoming |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DR.0060131 | Colorado |
Profile Details
| NPI number | 1003071804 |
|---|---|
| LBN Legal business name | Evans, Shannon D |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2008 |
| Last updated | Aug 22nd, 2018 - about 7 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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