Guzman, Shannon Marie

Guzman, Shannon Marie is an individual health care provider with primary practice located at 10775 Pioneer Trl Ste 215 , Truckee CA 96161-0234. 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. Guzman, Shannon Marie can be contacted via phone (415) 424-4266.

Contact Information

Primary practice address
10775 Pioneer Trl Ste 215 Truckee CA 96161-0234
Phone: (415) 424-4266
Fax: (209) 370-9034
Website:
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Health care specialties

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

Profile Details

NPI number 1700155363
LBN Legal business name Guzman, Shannon Marie
Credentials DMSC, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2011
Last updated May 21st, 2024 - about 4 months 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 1700155363 NPPES
Georgia MEDICAID 003286773A
Georgia MEDICAID 2200821
Georgia MEDICAID 250016698
Georgia MEDICAID 30017641300001
Georgia MEDICAID 830115312
Georgia MEDICAID 117506800
Georgia MEDICAID 1700155363
Georgia MEDICAID 100240434
Georgia MEDICAID 9000199549

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