Green, Shannan

Green, Shannan is an individual health care provider with primary practice located at 140 W 11Th St , Front Royal VA 22630-3512. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Green, Shannan can be contacted via phone (540) 631-3700.

Contact Information

Primary practice address
140 W 11Th St Front Royal VA 22630-3512
Phone: (540) 631-3700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101238191 Virginia

Profile Details

NPI number 1558330712
LBN Legal business name Green, Shannan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jul 8th, 2007 - about 18 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 1558330712 NPPES
Virginia Other 181747 ANTHEM
Virginia Other 2134671 ANTHEM
Virginia Other 181747 ANTHEM
Virginia Other 714606 ANTHEM

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