Ghizzoni, Shannon L
Ghizzoni, Shannon L is an individual health care provider with primary practice located at 1211 Dublin Rd Columbus, Columbus OH 43215-1091. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Ghizzoni, Shannon L can be contacted via phone (614) 486-5200.Contact Information
Primary practice address
1211 Dublin Rd Columbus
Columbus OH 43215-1091
Phone: (614) 486-5200
Fax: (614) 486-9665
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 50-002605 | Ohio |
Profile Details
NPI number | 1205998432 |
---|---|
LBN Legal business name | Ghizzoni, Shannon L |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 14th, 2006 |
Last updated | Nov 9th, 2020 - about 4 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 | 1205998432 | NPPES |
Ohio | MEDICAID | 0213174 | |
Ohio | Other | 31-1425166 |
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