Fish, Shannon Marjorie
Fish, Shannon Marjorie is an individual health care provider with primary practice located at 450 Broadway St Pavilion A, 1St Floor, Redwood City CA 94063-3132. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Fish, Shannon Marjorie can be contacted via phone (650) 723-6238.Contact Information
Primary practice address
450 Broadway St Pavilion A, 1St Floor
Redwood City CA 94063-3132
Phone: (650) 723-6238
Fax: (650) 721-3417
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA17422 | California |
Profile Details
| NPI number | 1255598793 |
|---|---|
| LBN Legal business name | Fish, Shannon Marjorie |
| Credentials | SHANNON FISH PA-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2008 |
| Last updated | Aug 3rd, 2012 - about 12 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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