Gillespie, Shannon Michelle

Gillespie, Shannon Michelle is an individual health care provider with primary practice located at 1441 Florida Avenue , Modesto CA 95350. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gillespie, Shannon Michelle can be contacted via phone (209) 576-3609.

Contact Information

Primary practice address
1441 Florida Avenue Modesto CA 95350
Phone: (209) 576-3609
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA17889 California

Profile Details

NPI number 1063459683
LBN Legal business name Gillespie, Shannon Michelle
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Nov 27th, 2007 - about 17 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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